| Organization Name: | FARMACIA DORAVILLE |
| NPI Number: | 1437274966 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD DIAZ MATEO (OWNER) |
| Mailing Address: | 1-1#14 Urb Doraville Farmacia Doraville Dorado |
| State: | PR US |
| Postal Code: | 006465908 |
| Phone Number: | 7877963310 |
| Fax Number: | 7877963310 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 1485164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |