Provider Demographics
NPI:1104965177
Name:BAYAMON MEDICAL PHARMACY & CAFETERIA,INC.
Entity type:Organization
Organization Name:BAYAMON MEDICAL PHARMACY & CAFETERIA,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-786-8221
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:CARR #2 KM. 11.2
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0306
Mailing Address - Country:US
Mailing Address - Phone:787-786-8221
Mailing Address - Fax:787-798-0333
Practice Address - Street 1:CARR #2 KM 11.2
Practice Address - Street 2:ANEXO HOSPITAL HNOS. MELENDEZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-0306
Practice Address - Country:US
Practice Address - Phone:787-786-8221
Practice Address - Fax:787-798-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F0725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty