Provider Demographics
NPI:1043366834
Name:FPC EXPRESO, INC
Entity Type:Organization
Organization Name:FPC EXPRESO, INC
Other - Org Name:FARMACIA PUERTA DE CAROLINA EXPRESO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-276-2808
Mailing Address - Street 1:PO BOX 6029
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-6029
Mailing Address - Country:US
Mailing Address - Phone:787-276-2808
Mailing Address - Fax:787-276-8921
Practice Address - Street 1:AVE MONSERRATE ESQUINA AVENIDA MAIN CALDERON
Practice Address - Street 2:URBANIZACION VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-276-2808
Practice Address - Fax:787-276-8921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F15443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy