Organization · Type 2 NPI
Own Bussiness
Managed Care Organization Pharmacy · Ponce, PR
NPI number
1043620123
Active
Practice location
1933 Calle Guayabo, Los Caobos
Ponce, PR 00716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
About NPI 1043620123
Own Bussiness's National Provider Identifier is 1043620123, issued on Apr 29, 2014. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Ponce, PR. The record was last updated on Apr 29, 2014.