Provider Demographics
NPI:1831856715
Name:THREE FRIENDS DRUG
Entity type:Organization
Organization Name:THREE FRIENDS DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MIELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-248-0959
Mailing Address - Street 1:PO BOX 940
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0940
Mailing Address - Country:US
Mailing Address - Phone:787-248-0959
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 86.6 BO PUEBLO
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-248-0959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy