Provider Demographics
NPI:1093886087
Name:CO-PHARMA INTEGRATED SOLUTIONS, INC
Entity Type:Organization
Organization Name:CO-PHARMA INTEGRATED SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:HIRAM
Authorized Official - Last Name:COLLAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-627-2476
Mailing Address - Street 1:PO BOX 195496
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-5496
Mailing Address - Country:US
Mailing Address - Phone:787-627-2476
Mailing Address - Fax:787-622-7311
Practice Address - Street 1:ZONA LIBRE COMERCIO
Practice Address - Street 2:CENTRO CIBERNETICO CARR 165
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965
Practice Address - Country:US
Practice Address - Phone:787-627-2476
Practice Address - Fax:787-622-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site