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General NPI Number Information
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NPI Number | 1255342820
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Entity Type | Organization
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Legal Business Name | FARMACIA LOS ANGELES DE ISABELA LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4406 AVE MILITAR
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City | ISABELA
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State | PR
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Zip | 00662-4158
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Country | US
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Telephone | 787-872-5943
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Fax | 787-830-4788
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Provider Business Mailing Address
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Address Line | 4406 AVE MILITAR
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City | ISABELA
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State | PR
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Zip | 00662-4158
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Country | US
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Telephone | 787-872-1360
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Fax | 787-830-4788
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Authorized Official
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Title or Position | OWNER SECRETARY TREASURER OF LLC
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Name | ROSA M MORALES-PEREZ
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Credential |
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Telephone | 787-872-1360
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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 | 17F0810
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License Number State | PR
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