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General NPI Number Information
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NPI Number | 1003949108
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Entity Type | Organization
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Legal Business Name | PUERTO RICO DRUG COMPANY INC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CALLE SAN FRANCISCO # 157 VIEJO SAN JUAN
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City | SAN JUAN
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State | PR
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Zip | 00902-3833
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Country | US
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Telephone | 787-725-2202
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Fax | 787-721-2002
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Provider Business Mailing Address
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Address Line | PO BOX 9023833
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City | SAN JUAN
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State | PR
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Zip | 00902-3833
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Country | US
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Telephone | 787-725-2202
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Fax | 787-721-2002
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALEJANDRO AMADOR
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Credential |
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Telephone | 787-725-2202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4014320
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License Number State | PR
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