Provider Demographics
NPI:1851425169
Name:HOME INFUSION PHARMACY & COMPOUNDING, INC.
Entity Type:Organization
Organization Name:HOME INFUSION PHARMACY & COMPOUNDING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-881-7486
Mailing Address - Street 1:PO BOX 140627
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0627
Mailing Address - Country:US
Mailing Address - Phone:787-881-7486
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 80.6
Practice Address - Street 2:BO. SAN DANIEL
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614
Practice Address - Country:US
Practice Address - Phone:787-881-7486
Practice Address - Fax:787-817-0479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR08F24651835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5892980001Medicare NSC