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General NPI Number Information
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NPI Number | 1306971817
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Entity Type | Organization
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Legal Business Name | FARMACIA DEL PUEBLO
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 158 AVE SANTIAGO IGLESIAS
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City | ARECIBO
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State | PR
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Zip | 00612-4700
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Country | US
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Telephone | 787-878-2450
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Fax | 787-878-2450
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Provider Business Mailing Address
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Address Line | 158 AVE SANTIAGO IGLESIAS
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City | ARECIBO
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State | PR
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Zip | 00612-4700
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Country | US
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Telephone | 787-878-2450
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Fax | 787-878-2450
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Authorized Official
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Title or Position | OWNER
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Name | IRMA SIERRA
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Credential | BSPH
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Telephone | 787-878-2450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 09F2160
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License Number State | PR
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