Healthcare Provider Details
I. General information
NPI: 1831856715
Provider Name (Legal Business Name): THREE FRIENDS DRUG
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2021
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR #2 KM 86.6 BO PUEBLO
HATILLO PR
00659
US
IV. Provider business mailing address
PO BOX 940
HATILLO PR
00659-0940
US
V. Phone/Fax
- Phone: 787-680-5444
- Fax: 939-544-5195
- Phone: 787-680-5444
- Fax: 939-544-5195
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELVIN
J
MIELES
Title or Position: PRESIDENTE
Credential:
Phone: 787-248-0959