Provider Demographics
NPI:1659783710
Name:METRO PHARMACY INC
Entity Type:Organization
Organization Name:METRO PHARMACY INC
Other - Org Name:METRO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:BLANES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED PHARMACIS
Authorized Official - Phone:787-725-8073
Mailing Address - Street 1:150 AVE. DE DIEGO, BUZON 1
Mailing Address - Street 2:EDIF SAN JUAN HEALTH CENTRE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-725-8073
Mailing Address - Fax:787-722-2275
Practice Address - Street 1:150 AVE. DE DIEGO, BUZON 1
Practice Address - Street 2:EDIF SAN JUAN HEALTH CENTRE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-725-8073
Practice Address - Fax:787-722-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-23
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145862OtherPK