Provider Demographics
NPI:1992928501
Name:GOLDEN SOLUTION RX DISTRIBUTOR
Entity type:Organization
Organization Name:GOLDEN SOLUTION RX DISTRIBUTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-733-2601
Mailing Address - Street 1:PO BOX 3389
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-6389
Mailing Address - Country:US
Mailing Address - Phone:787-733-2601
Mailing Address - Fax:787-733-2597
Practice Address - Street 1:CARR. 183 KM. 19.2
Practice Address - Street 2:BO. MONTONES
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-733-2601
Practice Address - Fax:787-733-2597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy