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INTRACARE INFUSION AND COMPOUNDING PHCY

Medical Equipment Supplier Yellow Pages

San Juan, U.S. Nationwide

Provider NPI: 1902951692

Organization Information:
Organization Name:  INTRACARE INFUSION AND COMPOUNDING PHCY


Practice Location:
690 CALLE CESAR GONZALEZ # 479 URB ROOSEVELT SAN JUAN, PR 00918 US
Tel: 787-250-1515  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336H0001XSuppliers
Pharmacy
PR08F2456

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER402556301
OTHER ID NUMBER-COMMERCIAL NUMBER402556301
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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