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
1	332BD1200X	Dialysis Equipment & Supplies (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	333600000X	Pharmacy

General Provider Information

NPI Number	:	1992570105
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	:	55 CALLE ARZUAGA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00925-3702
Country	:	US
Telephone Number	:	787-781-4585
Fax Number	:

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	MARIA MILAGROS MORALES VARGAS
Credential	:
Telephone Number	:	787-781-4585

Provider Enumeration Date	:	11/17/2023
Last Update Date	:	11/17/2023

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