Provider Demographics
NPI:1588706071
Name:FARMACIA MELLYBER
Entity type:Organization
Organization Name:FARMACIA MELLYBER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-824-2026
Mailing Address - Street 1:#49 SANTOS P AMADEO
Mailing Address - Street 2:POBOX 621
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-0621
Mailing Address - Country:US
Mailing Address - Phone:787-824-2026
Mailing Address - Fax:787-824-2026
Practice Address - Street 1:#49 SANTOS P AMADEO ST.
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-0621
Practice Address - Country:US
Practice Address - Phone:787-824-2026
Practice Address - Fax:787-824-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-2293261QC1500X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy