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NPI Code Detail

MEDICARE: SPECIAL CARE PHARMACY SERVICES, LLC

MEDICARE: SPECIAL CARE PHARMACY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BD1200XDialysis Equipment & Supplies (DME)07-F-2224PR
2332BN1400XNursing Facility Supplies (DME)07-F-2224PR
3332BP3500XParenteral & Enteral Nutrition Supplies (DME)07-F-2224PR
4333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110988OTHERPRSSS
2F-548538OTHERPRPHARMACY LICENSE

General Provider Information

NPI Number : 1205819729
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIAL CARE PHARMACY SERVICES, LLC
Provider Business Mailing Address
First Line : 55 CALLE ARZUAGA
Second Line :
City : SAN JUAN
State : PR
Zip : 00925-3702
Country : US
Telephone Number : 787-781-4585
Fax Number :
Provider Business Practice Location Address
First Line : 1109 BRUMBAUGH, ARZUAGA 53,55
Second Line : RIO PIEDRAS PUEBLO
City : SAN JUAN
State : PR
Zip : 00925-3702
Country : US
Telephone Number : 787-781-4585
Fax Number : 787-783-2951
Authorized Official
Title or Position : PRESIDENT
Name : JOSE ANIBAL ROJAS
Credential : PHARMD
Telephone Number : 787-781-4585
Provider Enumeration Date : 11/29/2005
Last Update Date : 11/17/2023

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Directions to “SPECIAL CARE PHARMACY SERVICES, LLC ” Practice Location

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