1780221093 NPI number — CARIBE PHARMACY MANEGMENT LLC

Table of content: (NPI 1780221093)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780221093 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:
Provider Other Organization Name Type Code:
6
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:
1780221093
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 3590
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:
00680
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-899-1585
Provider Business Mailing Address Fax Number:
787-849-3688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROUTE 2 KM 129.5
Provider Second Line Business Practice Location Address:
PLAZA VICTORIA SHOPPING CENTER
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-658-7070
Provider Business Practice Location Address Fax Number:
787-658-6969
Provider Enumeration Date:
12/05/2019

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 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: F-558553 . This is a "PHARMACY STATE LICENCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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