Provider Demographics
NPI:1730390097
Name:FARMACIA IRIZARRY LLC
Entity type:Organization
Organization Name:FARMACIA IRIZARRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST /OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-381-7588
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623
Mailing Address - Country:US
Mailing Address - Phone:787-851-1270
Mailing Address - Fax:787-255-2050
Practice Address - Street 1:38 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4005
Practice Address - Country:US
Practice Address - Phone:787-851-1270
Practice Address - Fax:787-255-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy