Healthcare Provider Details

I. General information

NPI: 1316080849
Provider Name (Legal Business Name): PHARMACARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HERMINIO DIAZ NAVARRO ST. GUAYNABO PUEBLO
GUAYNABO PR
00969-5619
US

IV. Provider business mailing address

PO BOX 260310
SAN JUAN PR
00926-2621
US

V. Phone/Fax

Practice location:
  • Phone: 787-720-2626
  • Fax: 787-708-4669
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 Number18-F-3360
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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