Organization
ED S PHARMACY CORPORATION
Active
Other names
Ed's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO CARMONA (PHARMACY MANAGER)
(787) 381-5471
Entity
Organization
Contact information
Practice address
RD 307, KM 4.8, BOQUERON, PR 00622
(787) 255-0485
(787) 255-0486
Mailing address
PO BOX 1790, BOQUERON, PR 00622-1790
(787) 255-0485
(787) 255-0486
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12-F-2870
PR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027492
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/03/2010
Last updated
06/20/2011
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