Healthcare Provider Details

I. General information

NPI: 1407070410
Provider Name (Legal Business Name): RMG PHARMACY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 119 KM 23.2 BO. FURNIAS
LAS MARIAS PR
00670
US

IV. Provider business mailing address

URB ALTAMIRA BUZON #81
LARES PR
00669
US

V. Phone/Fax

Practice location:
  • Phone: 787-827-0343
  • Fax: 787-827-0343
Mailing address:
  • Phone: 787-827-0339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07F2308
License Number StatePR

VIII. Authorized Official

Name: RICARDO A MARCHESE SR.
Title or Position: PRESIDENTE
Credential:
Phone: 787-636-1512