Provider Demographics
NPI:1114052511
Name:OSCAR A HERNANDEZ LOPEZ
Entity Type:Organization
Organization Name:OSCAR A HERNANDEZ LOPEZ
Other - Org Name:YUMAC DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:767-898-3530
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0542
Mailing Address - Country:US
Mailing Address - Phone:787-898-3530
Mailing Address - Fax:787-820-4616
Practice Address - Street 1:AVE MUNOZ RIVERA #7
Practice Address - Street 2:SUITE 3
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2629
Practice Address - Country:US
Practice Address - Phone:787-898-3530
Practice Address - Fax:787-898-3530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F1571333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy