# PUEBLO INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pueblo Pharmacy \#115
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184146219
- **Authorized official:** MACBETH RAMOS (CHIEF PHARMACIST)
- **Authorized official phone:** (787) 231-8547

## Contact information

- **Practice address:** 652 AVE MUNOZ RIVERA STE 200, SAN JUAN, PR 00918-4257
- **Practice address phone:** (787) 754-8087
- **Practice address fax:** (787) 754-0983
- **Mailing address:** P.O. BOX 1967, CAROLINA, PR 00984-1967
- **Mailing address phone:** (787) 754-8087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 19-F-3526 | PR | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 04/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175225 | PK | — |