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General NPI Number Information
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NPI Number | 1144236886
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Entity Type | Organization
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Legal Business Name | QUALITY SERVICE PHARMACY INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | CALLE SOCORRO # 155
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City | QUEBRADILLAS
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State | PR
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Zip | 00678
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Country | US
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Telephone | 787-895-6006
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Fax | 787-895-0044
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Provider Business Mailing Address
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Address Line | PO BOX 686
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City | CAMUY
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State | PR
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Zip | 00627-0686
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Country | US
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Telephone | 787-895-6006
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Fax | 787-895-0044
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Authorized Official
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Title or Position | OWNER
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Name | LOUISETTE LOPEZ
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Credential | RPH
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Telephone | 787-895-6006
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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 | 18F2601
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License Number State | PR
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