Provider Demographics
NPI:1437304235
Name:FARMACIA CANEY, INC
Entity Type:Organization
Organization Name:FARMACIA CANEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-755-7845
Mailing Address - Street 1:AVE. BETANCES CALLE 2 J-23
Mailing Address - Street 2:URB .HERMANAS DAVILA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-755-7845
Mailing Address - Fax:787-283-3486
Practice Address - Street 1:AVE. BETANCES CALLE 2 J-23
Practice Address - Street 2:URB .HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-755-7845
Practice Address - Fax:787-283-3486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy