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General NPI Number Information
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NPI Number | 1023768462
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Entity Type | Organization
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Legal Business Name | FARMACIA LUVAMAR EXPRESS, LLC
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | #67 CALLE 65 DE INFANTERIA
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-2545
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Fax | 787-826-4022
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Provider Business Mailing Address
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Address Line | PO BOX 518
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City | ANASCO
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State | PR
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Zip | 00610-0518
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Country | US
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Telephone | 787-826-2545
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Fax | 787-826-4022
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Authorized Official
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Title or Position | PHARMACIST
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Name | VANESSA TUR
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Credential |
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Telephone | 787-826-2545
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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 |
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License Number State |
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