Healthcare Provider Details

I. General information

NPI: 1528112471
Provider Name (Legal Business Name): PHARMACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BENITEZ GUZMAN #52
VIEQUES PR
00765
US

IV. Provider business mailing address

PO BOX 260310
SAN JUAN PR
00926-2621
US

V. Phone/Fax

Practice location:
  • Phone: 787-741-8397
  • Fax: 787-741-8397
Mailing address:
  • Phone: 787-692-2449
  • Fax: 787-741-8397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number07F1433
License Number StatePR

VIII. Authorized Official

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