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General NPI Number Information
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NPI Number | 1104965177
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Entity Type | Organization
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Legal Business Name | BAYAMON MEDICAL PHARMACY & CAFETERIA,INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR #2 KM 11.2 ANEXO HOSPITAL HNOS. MELENDEZ
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City | BAYAMON
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State | PR
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Zip | 00960-0306
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Country | US
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Telephone | 787-786-8221
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Fax | 787-798-0333
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Provider Business Mailing Address
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Address Line | PO BOX 306 CARR #2 KM. 11.2
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City | BAYAMON
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State | PR
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Zip | 00960-0306
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Country | US
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Telephone | 787-786-8221
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Fax | 787-798-0333
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | MRS. ADALIA ALVAREZ
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Credential |
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Telephone | 787-786-8221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 07F0725
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License Number State | PR
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