Provider Demographics
NPI:1114343043
Name:GOOD CARE PHARMACY INC
Entity Type:Organization
Organization Name:GOOD CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:AMARILIS
Authorized Official - Last Name:PASTORIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-225-2531
Mailing Address - Street 1:HC 2 BOX 47059
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9311
Mailing Address - Country:US
Mailing Address - Phone:787-597-6947
Mailing Address - Fax:
Practice Address - Street 1:RD 2 KM 68
Practice Address - Street 2:SANTANA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-225-2531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy