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General NPI Number Information
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NPI Number | 1013391051
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Entity Type | Organization
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Legal Business Name | LOANG CORP
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 32 CALLE 25 DE JULIO ESQ. BUENAVENTURA QUINONES
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City | GUANICA
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State | PR
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Zip | 00653-0000
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Country | US
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Telephone | 787-821-3131
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Fax | 787-821-2222
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Provider Business Mailing Address
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Address Line | PO BOX 716
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City | GUANICA
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State | PR
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Zip | 00653-0716
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Country | US
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Telephone | 787-821-3131
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Fax | 787-821-2222
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Authorized Official
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Title or Position | PHARMACIST
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Name | MARANGELY MERCADO
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Credential | PHARM.D.
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Telephone | 787-821-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17F3310
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License Number State | PR
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