Provider Demographics
NPI:1780221093
Name:CARIBE PHARMACY MANEGMENT LLC
Entity Type:Organization
Organization Name:CARIBE PHARMACY MANEGMENT LLC
Other - Org Name:PHARMAMAX # 7
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RX DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:DIAZ
Authorized Official - Last Name:SALICRUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-232-8734
Mailing Address - Street 1:PO BOX 3590
Mailing Address - Street 2:PO BOX 6842 270 CALLE DE LA CANDELARIA
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-899-1585
Mailing Address - Fax:787-849-3688
Practice Address - Street 1:ROUTE 2 KM 129.5
Practice Address - Street 2:PLAZA VICTORIA SHOPPING CENTER
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-7070
Practice Address - Fax:787-658-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF-558553OtherPHARMACY STATE LICENCE