Healthcare Provider Details

I. General information

NPI: 1063549657
Provider Name (Legal Business Name): PHARMACARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NARANJITO SHOPPING VILLAGE BO. CEDRO ARRIBA CARR 152 KM 12.5 LOCAL 1004-A
NARANJITO PR
00719
US

IV. Provider business mailing address

PO BOX 260310
SAN JUAN PR
00926-2621
US

V. Phone/Fax

Practice location:
  • Phone: 787-869-6496
  • Fax: 787-869-5591
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 Number18-F-3016
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number20-F-3544
License Number StatePR

VIII. Authorized Official

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