Provider Demographics
NPI:1437147766
Name:AAA PHARMACY INC
Entity Type:Organization
Organization Name:AAA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-821-3005
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653-0987
Mailing Address - Country:US
Mailing Address - Phone:787-821-3005
Mailing Address - Fax:787-821-4544
Practice Address - Street 1:CARRETERA 116 K.M. 27.7
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-0987
Practice Address - Country:US
Practice Address - Phone:787-821-3005
Practice Address - Fax:787-821-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4907920001Medicare ID - Type Unspecified