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General NPI Number Information
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NPI Number | 1053692228
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Entity Type | Organization
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Legal Business Name | FARMACIA YANI INC
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | CARRETERA 109 KM 26.7 BO. CULEBRINA
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-896-1212
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Fax | 787-896-5839
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | MOCA
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State | PR
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Zip | 00676-0164
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Country | US
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Telephone | 787-896-1212
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Fax | 787-896-5839
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | YANIRA SANTIAGO
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Credential | BS
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Telephone | 787-896-1212
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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 | 17-F-2962
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License Number State | PR
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