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General NPI Number Information
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NPI Number | 1043131980
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Entity Type | Organization
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Legal Business Name | FARMACIA MIA BLVD LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | AVE. BOULEVARD, NUM. J-2725, URB. LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-330-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PLAZA PRADERA ST 20 PMB 161
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-330-0240
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Fax | 787-330-0241
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Authorized Official
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Title or Position | OWNER
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Name | SONIMAR B MUNIZ ROSARIO
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Credential |
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Telephone | 787-640-8183
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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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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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