Provider Demographics
NPI:1942979331
Name:SMART CARE PHARMACY LLC
Entity Type:Organization
Organization Name:SMART CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NADJA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-341-8085
Mailing Address - Street 1:20 AVE LUIS MUNOZ MARIN URB VILLA BLANCA ESTE 1-54
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1954
Mailing Address - Country:US
Mailing Address - Phone:787-931-0196
Mailing Address - Fax:
Practice Address - Street 1:PLAZA RIO CANAS 106 CARR 1 KM 27.8
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-931-0196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy