Healthcare Provider Details

I. General information

NPI: 1023140316
Provider Name (Legal Business Name): DHARMA RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RD 866 KM 1.1 BO. CANDELARIA
TOA BAJA PR
00949
US

IV. Provider business mailing address

PO BOX 964
SABANA SECA PR
00952-0964
US

V. Phone/Fax

Practice location:
  • Phone: 787-784-4728
  • Fax: 787-784-1393
Mailing address:
  • Phone: 787-784-4728
  • Fax: 787-784-1393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number07-F-1284
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5082280001
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EDWIN AGUILA
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 787-784-4728