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General NPI Number Information
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NPI Number | 1023136645
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Entity Type | Organization
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Legal Business Name | FARMACIA DEL CARMEN
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | #3 RAMIREZ SREET
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City | LARES
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State | PR
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Zip | 00669
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Country | US
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Telephone | 787-897-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 385
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City | LARES
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State | PR
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Zip | 00669-0385
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Country | US
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Telephone | 787-897-2900
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Fax | 787-897-5854
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JOSE R IRIZARRY
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Credential |
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Telephone | 787-897-2900
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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 | 09F1053
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License Number State | PR
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