1295876373 NPI number — THAI-LEMAR INC.

Table of content: (NPI 1295876373)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295876373 NPI number — THAI-LEMAR INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THAI-LEMAR INC.
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:
SUPERFARMACIA METROPOLIS
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:
1295876373
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1620
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRUJILLO ALTO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00977-1620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-762-5805
Provider Business Mailing Address Fax Number:
787-752-0140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVENIDA A CALLE 1 SUPER FARMACIA METROPOLIS
Provider Second Line Business Practice Location Address:
CENTRO COMERCIAL METROPOLIS
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-400-0090
Provider Business Practice Location Address Fax Number:
787-762-5049
Provider Enumeration Date:
02/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LOPEZ
Authorized Official First Name:
LEYDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY MANAGER
Authorized Official Telephone Number:
787-762-5805

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  07F0333 , 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)

  • Identifier: 4012706 . This is a "NCPDP NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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