Provider Demographics
NPI:1093847881
Name:PHARMACARE, INC.
Entity Type:Organization
Organization Name:PHARMACARE, INC.
Other - Org Name:FARMACIA REY # 25
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:REYNOSO CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-692-2449
Mailing Address - Street 1:PO BOX 260310
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2621
Mailing Address - Country:US
Mailing Address - Phone:787-692-2449
Mailing Address - Fax:787-287-7800
Practice Address - Street 1:CALLE ANTONIO R. BACELO #36
Practice Address - Street 2:ESQUINA PADILLA EL CARIBE BO. PUEBLO
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-7935
Practice Address - Fax:787-739-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR19-F-30923336C0003X
PR20-F-35393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2139909OtherPK