Healthcare Provider Details

I. General information

NPI: 1679848188
Provider Name (Legal Business Name): FARMACIA CPTET BAYAMON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2012
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE LAUREL HOSP. RAMON RUIZ ARNAU-CPTET
BAYAMON PR
00956-4816
US

IV. Provider business mailing address

PO BOX 70184
SAN JUAN PR
00936-8184
US

V. Phone/Fax

Practice location:
  • Phone: 787-787-5151
  • Fax: 787-522-6309
Mailing address:
  • Phone: 787-787-5151
  • Fax: 787-522-6309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number13F3005
License Number StatePR

VIII. Authorized Official

Name: CARMEN RAMOS
Title or Position: REGENT PHARMACIST
Credential:
Phone: 787-787-5151