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General NPI Number Information
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NPI Number | 1124154489
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Entity Type | Organization
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Legal Business Name | FARMACIA ANA, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 165 JOSE C. BARBOSA ST.
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-733-2671
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Fax | 787-716-1036
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Provider Business Mailing Address
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Address Line | PO BOX 1202
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-733-2671
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Fax | 787-716-1036
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Authorized Official
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Title or Position | PHARMACIST
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Name | JULIE HURTADO
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Credential | R.PH
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Telephone | 787-733-2671
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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 | 07-F-1633
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License Number State | PR
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