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General NPI Number Information
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NPI Number | 1164575122
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Entity Type | Organization
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Legal Business Name | MC DRUG LLC
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | CALLE MENDEZ VIGO #269 BO PUEBLO
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-796-1155
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Fax | 787-796-0885
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Provider Business Mailing Address
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Address Line | PO BOX 1873
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City | COROZAL
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State | PR
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Zip | 00783-1873
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Country | US
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Telephone | 787-796-1155
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Fax | 787-796-0885
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. ZARIBEL HERNANDEZ
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Credential | PH D.
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Telephone | 787-504-0469
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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 | 19-F-2482
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License Number State | PR
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Taxonomy #3
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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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