Healthcare Provider Details

I. General information

NPI: 1629122486
Provider Name (Legal Business Name): PHARMACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ANDRES ARUZ RIVERA # 111
GURABO PR
00778
US

IV. Provider business mailing address

P.O. BOX 260310
SAN JUAN PR
00926-2621
US

V. Phone/Fax

Practice location:
  • Phone: 787-712-1780
  • Fax: 787-712-1799
Mailing address:
  • Phone: 787-692-2449
  • Fax: 787-287-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19-F-2158
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number20-F-3556
License Number StatePR

VIII. Authorized Official

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