Provider Demographics
NPI:1275682924
Name:CIMA DRUG PHARMACY
Entity Type:Organization
Organization Name:CIMA DRUG PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-376-2693
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:CALLE SATURNINO RODRIGUEZ #30
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-0243
Mailing Address - Country:US
Mailing Address - Phone:787-893-4455
Mailing Address - Fax:787-893-3376
Practice Address - Street 1:CALLE SATURNINO RODRIGUEZ #30
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-0243
Practice Address - Country:US
Practice Address - Phone:787-893-4455
Practice Address - Fax:787-893-3376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09F1868333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy