Provider Demographics
NPI:1467495846
Name:ONE STOP PRESCRIPTION EL MONTE INC
Entity Type:Organization
Organization Name:ONE STOP PRESCRIPTION EL MONTE INC
Other - Org Name:ONE STOP PRESCRIPTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:VANGAFELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-751-9606
Mailing Address - Street 1:10 AVE SIMON MADERA
Mailing Address - Street 2:PARCELAS FALU
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2231
Mailing Address - Country:US
Mailing Address - Phone:787-751-9606
Mailing Address - Fax:787-751-0286
Practice Address - Street 1:114 AVE DE DIEGO
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00907-2345
Practice Address - Country:US
Practice Address - Phone:787-977-2007
Practice Address - Fax:787-977-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18F28413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2087423OtherPK