Provider Demographics
NPI:1740726686
Name:HAMED CORP
Entity type:Organization
Organization Name:HAMED CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-740-3015
Mailing Address - Street 1:PO BOX 25247
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-5247
Mailing Address - Country:US
Mailing Address - Phone:787-740-3015
Mailing Address - Fax:787-740-0970
Practice Address - Street 1:CARR #2 KM 29.7 LOCAL N-142
Practice Address - Street 2:PLAZA CARIBE MALL
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-883-4133
Practice Address - Fax:787-883-7870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR18-F-34193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167175OtherPK