Provider Demographics
NPI:1548568058
Name:PHARMASCENE
Entity Type:Organization
Organization Name:PHARMASCENE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE JULIE
Authorized Official - Middle Name:SUMAGIT
Authorized Official - Last Name:DE GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:074-424-0731
Mailing Address - Street 1:3A LOAKAN ROAD
Mailing Address - Street 2:ATOK TRAIL
Mailing Address - City:BAGUIO
Mailing Address - State:BENGUET
Mailing Address - Zip Code:2600
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3A LOAKAN ROAD
Practice Address - Street 2:ATOK TRAIL
Practice Address - City:BAGUIO
Practice Address - State:BENGUET
Practice Address - Zip Code:2600
Practice Address - Country:PH
Practice Address - Phone:074-424-0731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZRD1-CAR-DS-5363336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy