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General NPI Number Information
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NPI Number | 1245554260
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Entity Type | Organization
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Legal Business Name | FARMACIA SABANA HOYOS INC
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | ROAD 639 KM 1.4
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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 | 787-880-3236
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Fax | 787-880-4255
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Provider Business Mailing Address
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Address Line | PO BOX 1626
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City | SABANA HOYOS
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State | PR
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Zip | 00688-1626
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Country | US
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Telephone | 787-880-3236
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Fax | 787-880-4255
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | JOSE FLORES
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Credential |
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Telephone | 787-880-3236
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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 | 14-F-2817
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License Number State | PR
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