Provider Demographics
NPI:1821861758
Name:LA CRUZ DE COLON PHARMACY, INC
Entity Type:Organization
Organization Name:LA CRUZ DE COLON PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, MBA, MS,MA
Authorized Official - Phone:305-384-8018
Mailing Address - Street 1:493 BO GUANIQUILLA
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-4051
Mailing Address - Country:US
Mailing Address - Phone:305-384-8018
Mailing Address - Fax:
Practice Address - Street 1:493 BO GUANIQUILLA
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-4051
Practice Address - Country:US
Practice Address - Phone:305-384-8018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy