Provider Demographics
NPI:1316230519
Name:CARIBE PHARMACY MANEGMENT LLC
Entity type:Organization
Organization Name:CARIBE PHARMACY MANEGMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:DIAZ
Authorized Official - Last Name:SALICRUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-808-1586
Mailing Address - Street 1:PO BOX 4218
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958-1218
Mailing Address - Country:US
Mailing Address - Phone:787-787-7733
Mailing Address - Fax:787-269-0022
Practice Address - Street 1:VICTORY SHOPP
Practice Address - Street 2:PR-167 KM 2.6
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-2307
Practice Address - Country:US
Practice Address - Phone:787-740-4000
Practice Address - Fax:787-740-0800
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIBE PHARMACY MANEGMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-20
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130469OtherPK