Provider Demographics
NPI:1346091675
Name:AMERICA GROUP INC.
Entity Type:Organization
Organization Name:AMERICA GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IZETTE
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:DEL MORAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:904-540-5303
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-0162
Mailing Address - Country:US
Mailing Address - Phone:787-655-0090
Mailing Address - Fax:787-655-0091
Practice Address - Street 1:CARR. #3 ESQ, CALLE IGUALDAD
Practice Address - Street 2:SUITE 2
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-655-0090
Practice Address - Fax:787-655-0091
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICA GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy