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General NPI Number Information
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NPI Number | 1144355660
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Entity Type | Organization
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Legal Business Name | HILIFECARE, LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 12 CALLE GANDARA
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City | COROZAL
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State | PR
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Zip | 00783-1926
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Country | US
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Telephone | 787-859-3040
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Fax | 787-859-3040
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-859-3040
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Fax | 787-859-3040
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOFIA BEATRIZ MARRERO MEDINA
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Credential | PHARMD.
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Telephone | 787-414-1418
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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 | 15-F-0808
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License Number State | PR
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