Healthcare Provider Details

I. General information

NPI: 1215708946
Provider Name (Legal Business Name): GREEN HILLS PHARMACY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SECTOR GREEN HILLS BO. BAYANEY KM. 13.8
HATILLO PR
00659
US

IV. Provider business mailing address

PO BOX 2829
ARECIBO PR
00613-2829
US

V. Phone/Fax

Practice location:
  • Phone: 787-820-3863
  • Fax:
Mailing address:
  • Phone: 787-820-3863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MARTINEZ TORRES
Title or Position: PRESIDENTA
Credential:
Phone: 787-644-0812