Provider Demographics
NPI:1023249208
Name:CARIBE PHARMACY MANEGMENT LLC
Entity type:Organization
Organization Name:CARIBE PHARMACY MANEGMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:DIAZ
Authorized Official - Last Name:SALICRUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-808-1586
Mailing Address - Street 1:PO BOX 4218
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958-1218
Mailing Address - Country:US
Mailing Address - Phone:787-752-9644
Mailing Address - Fax:787-269-0022
Practice Address - Street 1:237-21 AVE. ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:ESQ. CALLE 435, URB. VILLA CAROLINA
Practice Address - City:CAROLIN
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-9644
Practice Address - Fax:787-257-0770
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIBE PHARMACY MANEGMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-05
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11-F-2749OtherSTATE LICENSE