Healthcare Provider Details

I. General information

NPI: 1679660559
Provider Name (Legal Business Name): PHARMACARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE AGUSTIN COLON PACHECO #8
SALINAS PR
00751
US

IV. Provider business mailing address

PO BOX 260310
SAN JUAN PR
00926-2621
US

V. Phone/Fax

Practice location:
  • Phone: 787-824-2076
  • Fax: 787-824-0906
Mailing address:
  • Phone: 787-824-2076
  • Fax: 787-824-0906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19-F-3251
License Number StatePR

VIII. Authorized Official

Name: ANELIESE AYALA
Title or Position: VICEPRESIDENT
Credential: PHARMACIST
Phone: 787-692-2449