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General NPI Number Information
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NPI Number | 1306071568
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Entity Type | Organization
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Legal Business Name | ZAGA PHARMACY INC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | CARR. #931 KM. 5.3 PRADERAS SHOPPING CENTER
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-687-2566
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Fax | 787-687-7941
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Provider Business Mailing Address
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Address Line | 1727 AVE JESUS T PINERO
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City | SAN JUAN
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State | PR
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Zip | 00920-5408
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Country | US
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Telephone | 787-479-0284
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Fax | 787-781-1734
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGEL AREIZAGA
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Credential |
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Telephone | 787-479-0284
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 17-F-2722
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License Number State | PR
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