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General NPI Number Information
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NPI Number | 1215227269
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Entity Type | Organization
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Legal Business Name | FARMACIA GUAYANES INC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | EDIFICIO AURORA A -1 CALLE PEDRO VELAZQUEZ DIAZ # 628
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-836-3131
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Fax | 787-836-3130
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Provider Business Mailing Address
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Address Line | EDIFICIO AURORA A -1 CALLE PEDRO VELAZQUEZ DIAZ # 628
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-836-3131
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Fax | 787-836-3130
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE PEREZ
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Credential |
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Telephone | 787-316-7464
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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-2935
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License Number State | PR
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