Organization
CAREMARK PUERTO RICO SPECIALTY
Active
Other names
CVS/specialty
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MICHAEL AYCOCK (PRESIDENT)
(401) 765-1500
Entity
Organization
Contact information
Practice address
6020 AVE ROBERTO SANCHEZ VILELLA, CAROLINA, PR 00982-3707
(787) 759-4160
(909) 799-4364
Mailing address
PO BOX 99794, CHICAGO, IL 60696-7594
(412) 824-2487
(412) 717-9352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
02/20/2026
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