Farmacia La 110

LBN: Aiza Y Perez Caban
Farmacia La 110 is an health care organization with primary practice located at Carr 110 Km 13 Pt 0 Bo Pueblo, Moca PR 00676. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Aiza Y Perez Caban can be contacted via phone (787) 877-0110, or through Perez, Aiza via phone (787) 877-0110.

Contact Information

Primary practice address
Carr 110 Km 13 Pt 0 Bo Pueblo Moca PR 00676
Fax: (787) 818-0110
Website:
Authorized official contact:
Name: Perez, Aiza

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 17F2076 Puerto Rico

Profile Details

NPI number 1841364239
LBN Legal business name Aiza Y Perez Caban
DBA Doing business as Farmacia La 110
Authorized official Perez, Aiza
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 28th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841364239 NPPES
Puerto Rico MEDICAID 17-F-2076
Puerto Rico Other 2087130

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