Organization
CENTRO ARARAT INC
Active
Other names
CA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MELENDEZ (PHARMACY DIRECTOR)
(787) 284-4488
Entity
Organization
Contact information
Practice address
1507 CALLE PROF AUGUSTO RODRIGUE, SAN JUAN, PR 00909-2214
(787) 705-3900
(787) 727-2140
Mailing address
PO BOX 8730, SAN JUAN, PR 00910-0730
(787) 705-3900
(787) 727-2140
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18F3415
PR
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166530
PK
—
Enumeration date
12/18/2016
Last updated
02/23/2017
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