Provider Demographics
NPI:1962557215
Name:FARMACIA PADUA, INC.
Entity type:Organization
Organization Name:FARMACIA PADUA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PADUA
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:1787-828-4265
Mailing Address - Street 1:PO BOX 796
Mailing Address - Street 2:GUILLERMO ESTEVES # 63
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-0796
Mailing Address - Country:US
Mailing Address - Phone:178-782-8426
Mailing Address - Fax:178-782-8027
Practice Address - Street 1:FARMACIA PADUA
Practice Address - Street 2:GUILLERMO ESTEVES # 63
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664
Practice Address - Country:US
Practice Address - Phone:787-828-4265
Practice Address - Fax:787-828-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRAF41979083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy