Provider Demographics
NPI:1407241672
Name:AL-TEEN,CORP
Entity Type:Organization
Organization Name:AL-TEEN,CORP
Other - Org Name:FARMACIA CARIMAS 3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:YASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-929-7505
Mailing Address - Street 1:2021 AVE.SABANA SECA
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-929-7505
Mailing Address - Fax:787-753-6702
Practice Address - Street 1:2021 SABANA SECA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-929-7505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17-F-32703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy