Provider Demographics
NPI:1154887800
Name:FARMACIA ISAURAMAR INC
Entity type:Organization
Organization Name:FARMACIA ISAURAMAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:OTERO ESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-5713
Mailing Address - Street 1:PO BOX 1019
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1019
Mailing Address - Country:US
Mailing Address - Phone:787-854-5713
Mailing Address - Fax:787-854-6966
Practice Address - Street 1:CARR 685 KM 1.9
Practice Address - Street 2:BO TIERRAS NUEVAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-5713
Practice Address - Fax:787-854-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy