1235268897 NPI number — CARIBE PHARMACY MANEGMENT LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235268897 NPI number — CARIBE PHARMACY MANEGMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARIBE PHARMACY MANEGMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FARMACIA LA CANDELAIA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235268897
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6842
Provider Second Line Business Mailing Address:
PO BOX 6842 270 CALLE DE LA CANDELARIA
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-6842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-899-1585
Provider Business Mailing Address Fax Number:
787-808-1586

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
# 4 CONCORDIA STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAJAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-899-1585
Provider Business Practice Location Address Fax Number:
787-808-1587
Provider Enumeration Date:
03/02/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALICRUP
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
DIAZ
Authorized Official Title or Position:
RX DIRECTOR
Authorized Official Telephone Number:
787-232-8734

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  07-F-2218 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)