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General NPI Number Information
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NPI Number | 1255922423
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Entity Type | Organization
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Legal Business Name | FARMACIA LOS REYES LLC
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | CARR 149 KM4.7
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 757-675-9000
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE REY LUIS B9 URB. MANSIONES EN PASEO DE REYES
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 757-675-9000
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. JOSUE LISBOA PLATO
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Credential | PHARM D.
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Telephone | 787-955-7918
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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 |
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License Number State |
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