Provider Demographics
NPI:1952047615
Name:FARMALAB HOLDINGS, LLC
Entity type:Organization
Organization Name:FARMALAB HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARO ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-342-4736
Mailing Address - Street 1:PO BOX 191855
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1855
Mailing Address - Country:US
Mailing Address - Phone:787-979-3111
Mailing Address - Fax:787-979-3110
Practice Address - Street 1:CARR #1 AVE SAKURA VILLA BLANCA INDUSTRIAL PARK
Practice Address - Street 2:PLAZA BAIROA SUITE 115
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-979-3111
Practice Address - Fax:787-979-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy