MEDICARE: FARMACIA LAS CASAS INC

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	17F2047	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2087121	OTHER		PK

General Provider Information

NPI Number	:	1730213273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA LAS CASAS INC

Provider Business Mailing Address
First Line	:	2304 AVE BORINQUEN
Second Line	:	BO OBRERO
City	:	SAN JUAN
State	:	PR
Zip	:	00915-4427
Country	:	US
Telephone Number	:	787-726-3350
Fax Number	:	787-727-3309

Provider Business Practice Location Address
First Line	:	2304 AVE BORINQUEN
Second Line	:	BO OBRERO
City	:	SANTURCE
State	:	PR
Zip	:	00915-4427
Country	:	US
Telephone Number	:	787-726-3350
Fax Number	:	787-727-3309

Authorized Official
Title or Position	:	MANAGER
Name	:	RICHARD NEGRIN
Credential	:
Telephone Number	:	787-726-3350

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	03/16/2016

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Directions to “FARMACIA LAS CASAS INC ” Practice Location

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