Provider Demographics
NPI:1063549657
Name:PHARMACARE INC
Entity type:Organization
Organization Name:PHARMACARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:REYNOSO CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-692-2449
Mailing Address - Street 1:PO BOX 260310
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2621
Mailing Address - Country:US
Mailing Address - Phone:787-692-2449
Mailing Address - Fax:787-287-7800
Practice Address - Street 1:NARANJITO SHOPPING VILLAGE
Practice Address - Street 2:BO. CEDRO ARRIBA CARR 152 KM 12.5 LOCAL 1004-A
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-869-6496
Practice Address - Fax:787-869-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18-F-30163336C0003X
PR20-F-35443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134405OtherPK