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General NPI Number Information
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NPI Number | 1093872780
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Entity Type | Organization
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Legal Business Name | NORTHWEST PHARMACY GROUP LLC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | CARR. 110 KM 22.9 BARRIO CEIBA BAJA
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-882-2000
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Fax | 787-891-8614
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Provider Business Mailing Address
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Address Line | 81 URB.ALTAMIRA
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City | LARES
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State | PR
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Zip | 00669
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Country | US
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Telephone | 787-636-1512
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Fax | 787-891-8614
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Authorized Official
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Title or Position | OWNER
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Name | RICARDO A MARCHESE
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Credential |
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Telephone | 787-636-1512
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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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