Healthcare Provider Details

I. General information

NPI: 1811299761
Provider Name (Legal Business Name): PHARMACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 05/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LOCAL 1, AVE. SANCHEZ OSORIO CENTRO COMERCIAL VILLA FONTANA
CAROLINA PR
00983
US

IV. Provider business mailing address

URB. VILLAS DE PARANA S1-2 CALLE 11
SAN JUAN PR
00926-6045
US

V. Phone/Fax

Practice location:
  • Phone: 787-257-1444
  • Fax: 787-257-1772
Mailing address:
  • Phone: 787-692-2449
  • Fax: 787-287-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number19-F-3427
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JUAN A REYNOSO CABRERA
Title or Position: PRESIDENT
Credential:
Phone: 787-692-2449