Provider Demographics
NPI:1316080849
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:
Authorized Official - Last Name:REYNOSO
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 1:5 HERMINIO DIAZ NAVARRO ST.
Practice Address - Street 2:GUAYNABO PUEBLO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5619
Practice Address - Country:US
Practice Address - Phone:787-720-2626
Practice Address - Fax:787-708-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
PR18-F-3360333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2160024OtherPK