Provider Demographics
NPI:1073248167
Name:CARIBE PHARMACY HOLDINGS, LLC
Entity Type:Organization
Organization Name:CARIBE PHARMACY HOLDINGS, LLC
Other - Org Name:FARMACIA CARIDAD CENTRAL FILL
Other - Org Type:Other Name
Authorized Official - Title/Position:VP PHARMACY OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-787-7733
Mailing Address - Street 1:PO BOX 4218
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958-1218
Mailing Address - Country:US
Mailing Address - Phone:787-787-7733
Mailing Address - Fax:
Practice Address - Street 1:668 CALLE CUBITAS
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-2801
Practice Address - Country:US
Practice Address - Phone:787-787-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIBE PHARMACY HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy