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General NPI Number Information
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NPI Number | 1265553812
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Entity Type | Organization
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Legal Business Name | FARMACIA SAN CARLOS INC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 94 CALLE DUQUE
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City | GUAYAMA
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State | PR
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Zip | 00784-5658
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Country | US
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Telephone | 787-864-0116
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161
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City | GUAYAMA
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State | PR
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Zip | 00785-0161
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Country | US
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Telephone | 787-864-0116
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DIANA NAVARRO
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Credential |
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Telephone | 787-864-0116
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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 | 09F0507
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License Number State | PR
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