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General NPI Number Information
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NPI Number | 1083640718
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Entity Type | Organization
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Legal Business Name | FARMACIA ALEXANDRA
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 1107 WILLIAM JONES ST 1ST FLOOR
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City | RIO PIEDRAS
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-767-4078
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Fax | 787-758-3555
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Provider Business Mailing Address
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Address Line | PO BOX 20375
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City | SAN JUAN
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State | PR
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Zip | 00928-0375
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Country | US
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Telephone | 787-767-4078
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Fax | 787-758-3555
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Authorized Official
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Title or Position | OWNER
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Name | GILBERT BENITEZ
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Credential |
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Telephone | 787-594-2125
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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 | 12F2268
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License Number State | PR
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