# CENTRO ARARAT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CA Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962946426
- **Authorized official:** IVAN MELENDEZ (PHARMACY DIRECTOR)
- **Authorized official phone:** (787) 284-4488

## Contact information

- **Practice address:** 1507 CALLE PROF AUGUSTO RODRIGUE, SAN JUAN, PR 00909-2214
- **Practice address phone:** (787) 705-3900
- **Practice address fax:** (787) 727-2140
- **Mailing address:** PO BOX 8730, SAN JUAN, PR 00910-0730
- **Mailing address phone:** (787) 705-3900
- **Mailing address fax:** (787) 727-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 18F3415 | PR | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/18/2016
- **Last updated:** 02/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166530 | PK | — |