Provider Demographics
NPI:1861533242
Name:F R B FARMACIAS INC
Entity type:Organization
Organization Name:F R B FARMACIAS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/PRES
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:OCASIO ROLDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-315-2056
Mailing Address - Street 1:AVENIDA RAFAEL CORDERO 17
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-874-3176
Mailing Address - Fax:787-874-1030
Practice Address - Street 1:CARR 31 KM 13 8
Practice Address - Street 2:BO PENA POBRE
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-9726
Practice Address - Country:US
Practice Address - Phone:787-874-3174
Practice Address - Fax:787-874-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17F20603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084567OtherPK