Organization · Type 2 NPI
Municipality of San Juan PR
Managed Care Organization Pharmacy · San Juan, PR
NPI number
1669661708
Active
Practice location
Ave Borinquen Esq Calle Nin Bo Obrero
San Juan, PR 00915
Fax (787) 977-8401
Mailing address
PO Box 21405
San Juan, PR 00928-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | 17F2555 (PR) |
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 1669661708
Municipality of San Juan PR's National Provider Identifier is 1669661708, issued on Oct 15, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in San Juan, PR. The record was last updated on Sep 23, 2015.