Provider Demographics
NPI:1699837252
Name:FARMACIA CARRAIZO
Entity Type:Organization
Organization Name:FARMACIA CARRAIZO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSA-CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-760-2650
Mailing Address - Street 1:RR 7 BOX 7370
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-760-2650
Mailing Address - Fax:787-755-6542
Practice Address - Street 1:CARR 844 KM 5.6
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PA
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-760-2650
Practice Address - Fax:787-755-6542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-20493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy