Provider Demographics
NPI:1831216126
Name:FARMACIA PINA
Entity type:Organization
Organization Name:FARMACIA PINA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-399-9269
Mailing Address - Street 1:URB PRADERAS DEL RIO 3001
Mailing Address - Street 2:CALLE RIO BUCANA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-279-0731
Mailing Address - Fax:787-279-7050
Practice Address - Street 1:CARR 861 # KM 5/8
Practice Address - Street 2:BO. MUCARABONES
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-8528
Practice Address - Country:US
Practice Address - Phone:787-279-0731
Practice Address - Fax:787-279-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18-F-27923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084149OtherPK