Provider Demographics
NPI:1427183433
Name:FARMACIA COOPERATIVA DE CABO ROJO
Entity Type:Organization
Organization Name:FARMACIA COOPERATIVA DE CABO ROJO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-851-3813
Mailing Address - Street 1:33 CALLE CARBONELL
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-3501
Mailing Address - Country:US
Mailing Address - Phone:787-851-3813
Mailing Address - Fax:787-851-3813
Practice Address - Street 1:33 CALLE CARBONELL
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3501
Practice Address - Country:US
Practice Address - Phone:787-851-3813
Practice Address - Fax:787-851-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy