Provider Demographics
NPI:1962223313
Name:MORALES BOSQUES, JANICE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:MORALES BOSQUES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0324
Mailing Address - Country:US
Mailing Address - Phone:939-292-9291
Mailing Address - Fax:
Practice Address - Street 1:CARR 128 KM 2.2 YAUCO GALLERY
Practice Address - Street 2:SUITE 110
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-267-9000
Practice Address - Fax:787-267-7866
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist