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General NPI Number Information
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NPI Number | 1063665909
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Entity Type | Organization
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Legal Business Name | FARMACIA BELMONTE, INC.
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | CALLE JULIO PEREZ IRIZARRY #3
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-4704
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Fax | 787-849-3133
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Provider Business Mailing Address
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Address Line | PO BOX 1085
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-4173
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Fax | 787-849-3133
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID MARTINEZ
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Credential | R.PH.
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Telephone | 787-849-4173
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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 | 10-F-2674
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License Number State | PR
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