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General NPI Number Information
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NPI Number | 1194351593
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Entity Type | Organization
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Legal Business Name | LEONOR PHARMACY INC.
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | CARR 639 KM 4.8
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City | SABANA HOYOS
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State | PR
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Zip | 00688
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Country | US
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Telephone | 787-680-4645
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 5639
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City | BAJADERO
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State | PR
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Zip | 00616-9864
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Country | US
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Telephone | 939-292-9404
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA L ROSARIO
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Credential |
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Telephone | 939-292-9404
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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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