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General NPI Number Information
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NPI Number | 1194283788
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Entity Type | Organization
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Legal Business Name | FARMACIA VICTORIA INC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 773 AVE SAN PATRICIO
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City | SAN JUAN
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State | PR
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Zip | 00921-1301
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Country | US
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Telephone | 787-485-1097
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Fax | 787-998-2802
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Provider Business Mailing Address
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Address Line | 773 AVE SAN PATRICIO
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City | SAN JUAN
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State | PR
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Zip | 00921-1301
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Country | US
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Telephone | 787-485-1097
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Fax | 787-998-2802
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | NIMIA I VAZQUEZ-SUAREZ
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Credential | RPH
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Telephone | 787-485-1097
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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 |
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License Number State |
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