Provider Demographics
NPI:1104995968
Name:FARMACIA CAMUY HEALTH SERVICES, INC
Entity type:Organization
Organization Name:FARMACIA CAMUY HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ CABAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-898-2290
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0660
Mailing Address - Country:US
Mailing Address - Phone:787-898-2290
Mailing Address - Fax:787-262-1210
Practice Address - Street 1:63 AVE MUNOZ RIVERA E
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2630
Practice Address - Country:US
Practice Address - Phone:787-898-2290
Practice Address - Fax:787-262-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4020183OtherNABP