1770005134 NPI number — PHARMACY SERVICES INC

Table of content: (NPI 1770005134)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770005134 NPI number — PHARMACY SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHARMACY SERVICES 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:
Provider Other Organization Name Type Code:
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:
1770005134
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2682
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN GERMAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00683-2682
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-873-1125
Provider Business Mailing Address Fax Number:
787-873-0722

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 363 KM 0.1
Provider Second Line Business Practice Location Address:
BO. SANTANA
Provider Business Practice Location Address City Name:
SABANA GRANDE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-873-1125
Provider Business Practice Location Address Fax Number:
787-873-0722
Provider Enumeration Date:
07/07/2017

Additional Information

Authorized Official

Authorized Official Last Name:
DELGADO
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST/PRESIDENT
Authorized Official Telephone Number:
787-873-1125

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 19-F-3501 , 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: 2171037 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com