Provider Demographics
NPI:1386046043
Name:EL CARIBE PHARMACY CORP
Entity Type:Organization
Organization Name:EL CARIBE PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-353-2656
Mailing Address - Street 1:425 SW 22ND AVE
Mailing Address - Street 2:SUITE # E1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3100
Mailing Address - Country:US
Mailing Address - Phone:786-353-2656
Mailing Address - Fax:786-353-2452
Practice Address - Street 1:425 SW 22ND AVE
Practice Address - Street 2:SUITE # E1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3100
Practice Address - Country:US
Practice Address - Phone:786-353-2656
Practice Address - Fax:786-353-2452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy