Provider Demographics
NPI:1255472247
Name:FARMACIA CARLES
Entity Type:Organization
Organization Name:FARMACIA CARLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-271-1313
Mailing Address - Street 1:PO BOX 775
Mailing Address - Street 2:MORSE 80
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-0775
Mailing Address - Country:US
Mailing Address - Phone:787-271-1313
Mailing Address - Fax:787-271-1414
Practice Address - Street 1:80 CALLE MORSE
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2605
Practice Address - Country:US
Practice Address - Phone:787-271-1313
Practice Address - Fax:787-271-1414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPRESAS NUEVA VIDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-11
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07F09503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy