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General NPI Number Information
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NPI Number | 1245394030
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Entity Type | Organization
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Legal Business Name | FARMACIA NUEVA-HUMACAO LLC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 54 CALLE FONT MARTELO E
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City | HUMACAO
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State | PR
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Zip | 00791-3603
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Country | US
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Telephone | 787-852-0620
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Fax | 787-285-7243
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Provider Business Mailing Address
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Address Line | PO BOX 9108
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City | HUMACAO
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State | PR
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Zip | 00792-9108
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Country | US
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Telephone | 787-852-0620
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Fax | 787-285-7243
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LYN GABRIEL MUNOZ-ROBLEDO
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Credential | PHARM.D., M.S.
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Telephone | 787-852-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3036
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2989
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License Number State | PR
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