Provider Demographics
NPI:1427507896
Name:FARMACIA PAOMELA
Entity type:Organization
Organization Name:FARMACIA PAOMELA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ABDIEL
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-562-8296
Mailing Address - Street 1:PO BOX 79679
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-9679
Mailing Address - Country:US
Mailing Address - Phone:939-337-7411
Mailing Address - Fax:
Practice Address - Street 1:162 AVE DE LA CONSTITUCION
Practice Address - Street 2:LOCAL B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-2101
Practice Address - Country:US
Practice Address - Phone:939-337-7411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18-F-33783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy