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General NPI Number Information
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NPI Number | 1275907958
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Entity Type | Organization
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Legal Business Name | FARMACIA VARGAS BRAVO
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 58 CALLE PABLO CASALS
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City | MAYAGUEZ
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State | PR
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Zip | 00680-3923
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Country | US
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Telephone | 787-832-1426
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Fax | 787-834-2120
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Provider Business Mailing Address
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Address Line | 58 CALLE PABLO CASALS
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City | MAYAGUEZ
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State | PR
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Zip | 00680-3923
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Country | US
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Telephone | 787-832-1426
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Fax | 787-834-2120
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRISTINA VARGAS
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Credential |
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Telephone | 787-832-1426
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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 | 18-F-3233
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License Number State | PR
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