Provider Demographics
NPI:1689689226
Name:HAMED CORP
Entity Type:Organization
Organization Name:HAMED CORP
Other - Org Name:FIRST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURE
Authorized Official - Prefix:
Authorized Official - First Name:ABDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SABRI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-751-6646
Mailing Address - Street 1:PO BOX 25247
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-5247
Mailing Address - Country:US
Mailing Address - Phone:787-751-6646
Mailing Address - Fax:787-772-9221
Practice Address - Street 1:86 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3607
Practice Address - Country:US
Practice Address - Phone:787-751-6646
Practice Address - Fax:787-772-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17F22403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084553OtherPK
PR4224110002Medicare NSC