# PHARMA EXPRESS MC CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharma Express MC Corp.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508132994
- **Authorized official:** AARON GONZALEZ (MANAGER)
- **Authorized official phone:** (787) 279-3787

## Contact information

- **Practice address:** CALLE 50-A BLOQUE 7 SUITE \#8 ROYAL TOWN, BAYAMON, PR 00956
- **Practice address phone:** (787) 279-3787
- **Practice address fax:** (787) 799-4800
- **Mailing address:** CALLE 50-A BLOQUE 7 SUITE \#8 ROYAL TOWN, BAYAMON, PR 00956
- **Mailing address phone:** (787) 279-3787
- **Mailing address fax:** (787) 799-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 14-F-3038 | PR | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 06/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4028177 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |