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General NPI Number Information
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NPI Number | 1023139607
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Entity Type | Organization
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Legal Business Name | FARMADA PARK GARDENS
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | P10 CHAPULTEPEC ST PARK GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-755-0370
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Fax | 787-755-0370
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Provider Business Mailing Address
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Address Line | P10 CHAPULTEPEC ST PARK GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-755-0370
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Fax | 787-755-0370
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Authorized Official
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Title or Position | CHIEF PHARMACIST OWNER
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Name | ANTONIO E ARRIBAS
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Credential | RPH
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Telephone | 787-640-5298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07F0163
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License Number State | PR
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