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General NPI Number Information
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NPI Number | 1285798967
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Entity Type | Organization
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Legal Business Name | EGM PHARMACY INC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 15 CALLE DR RAMON E BETANCES N BO MAYAGUEZ
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-832-4200
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Fax | 787-832-1874
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Provider Business Mailing Address
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Address Line | 15 CALLE DR RAMON E BETANCES N BO MAYAGUEZ
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-832-4200
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Fax | 787-832-1874
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE, OWNER
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Name | GLENDALIS VARGAS
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Credential | PHARM D
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Telephone | 787-832-4200
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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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