Provider Demographics
NPI:1184993669
Name:FIRST PHARMACY 6
Entity type:Organization
Organization Name:FIRST PHARMACY 6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-318-3661
Mailing Address - Street 1:139 BO JUAN DOMINGO
Mailing Address - Street 2:CARR 2
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1806
Mailing Address - Country:US
Mailing Address - Phone:787-782-1025
Mailing Address - Fax:787-749-0875
Practice Address - Street 1:139 BO JUAN DOMINGO
Practice Address - Street 2:CARR 2
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1806
Practice Address - Country:US
Practice Address - Phone:787-782-1025
Practice Address - Fax:787-749-0875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13-F-29813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13-F-2981OtherPHARMACY