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General NPI Number Information
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NPI Number | 1194938779
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Entity Type | Organization
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Legal Business Name | FARMACIA LA VENTANA INC.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 129 CALLE LUIS MUNOZ RIVERA
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City | GUAYANILLA
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State | PR
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Zip | 00656-1810
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Country | US
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Telephone | 787-835-3524
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Fax | 787-835-1125
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Provider Business Mailing Address
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Address Line | 129 CALLE LUIS MUNOZ RIVERA
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City | GUAYANILLA
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State | PR
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Zip | 00656-1810
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Country | US
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Telephone | 787-835-3524
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Fax | 787-835-1125
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JAVIER ALFONSO RODRIGUEZ
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Credential |
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Telephone | 787-835-3525
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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 | 09-F-1967
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License Number State | PR
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