Provider Demographics
NPI:1467504324
Name:HAMID CORP
Entity Type:Organization
Organization Name:HAMID CORP
Other - Org Name:FIRST PHARMACY #4
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:SABRI
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-763-3185
Mailing Address - Street 1:426 AVE BARBOSA
Mailing Address - Street 2:HATO REY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-4306
Mailing Address - Country:US
Mailing Address - Phone:787-763-3185
Mailing Address - Fax:
Practice Address - Street 1:426 AVE BARBOSA
Practice Address - Street 2:HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-4306
Practice Address - Country:US
Practice Address - Phone:787-763-3185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4012908OtherPHARMACY NO