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General NPI Number Information
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NPI Number | 1306254537
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Entity Type | Organization
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Legal Business Name | FARMACIA JARDINES
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | HC 72 BOX 3766 PMB 305
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City | NARANJITO
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State | PR
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Zip | 00719-8788
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Country | US
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Telephone | 787-356-7568
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 164 KM 8.6 URB JARDINES DE NARANJITO
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-356-7568
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Fax |
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Authorized Official
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Title or Position | PHARMASIST
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Name | DR. MARISSA DEL C CRUZ
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Credential |
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Telephone | 787-356-7568
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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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