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General NPI Number Information
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NPI Number | 1285964510
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Entity Type | Organization
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Legal Business Name | FARMACIA DEL ATLANTICO
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | CARR 493 KM 0.5 EDIF. MEDICAL AND PROFESIONAL PLAZA #111
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City | HATILLO
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State | PR
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Zip | 00659-0862
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Country | US
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Telephone | 787-880-7171
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Fax | 787-880-8787
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Provider Business Mailing Address
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Address Line | PO BOX 141133
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City | ARECIBO
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State | PR
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Zip | 00614-1133
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Country | US
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Telephone | 787-880-7171
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Fax | 787-880-8787
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Authorized Official
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Title or Position | OWNER
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Name | MR. JESUS M. RODRIGUEZ
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Credential |
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Telephone | 787-347-1806
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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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