Provider Demographics
NPI:1427164763
Name:VALCO PHARMACEUTICAL CORP
Entity type:Organization
Organization Name:VALCO PHARMACEUTICAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:787-857-2750
Mailing Address - Street 1:96 CALLE BARCELO
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-1614
Mailing Address - Country:US
Mailing Address - Phone:787-857-2750
Mailing Address - Fax:787-857-0707
Practice Address - Street 1:96 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-1614
Practice Address - Country:US
Practice Address - Phone:787-857-2750
Practice Address - Fax:787-857-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2151-073336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4013138OtherNABPP
PR1182390001Medicare ID - Type Unspecified