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General NPI Number Information
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NPI Number | 1063548741
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Entity Type | Organization
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Legal Business Name | FARMACIA REPARTO
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 79 AVE UNIV INTERAMERICANA
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City | SAN GERMAN
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State | PR
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Zip | 00683-4338
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Country | US
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Telephone | 787-892-5264
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Fax | 787-892-4577
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Provider Business Mailing Address
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Address Line | AVE. UNIVERSIDAD INTERAMERICANA CARR 114 KM15 HM 2
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-892-5264
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Fax | 787-892-4577
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE ORLANDO LLAVONA
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Credential | RPH
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Telephone | 787-892-5264
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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 | 07F1122
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License Number State | PR
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