Organization
CENTRO ARARAT INC
Active
Other names
C A Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN RIVERA PHARM.D. (CEO)
(787) 284-5884
Entity
Organization
Contact information
Practice address
8169 CALLE CONCORDIA STE 410, COND SAN VICENTE, PONCE, PR 00717-1567
(787) 284-4488
(787) 284-4445
Mailing address
8169 CALLE CONCORDIA STE 412, COND. SAN VICENTE, PONCE, PR 00717-1567
(787) 284-4488
(787) 284-4445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
20-F-2842
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124873
PK
—
Enumeration date
05/07/2010
Last updated
07/19/2018
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