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General NPI Number Information
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NPI Number | 1316057417
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Entity Type | Organization
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Legal Business Name | FARMACIA LUGO, INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR. 363 KMO HMO 130.SANTANA-MAGUINA
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-873-0007
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Fax | 787-873-0010
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Provider Business Mailing Address
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Address Line | HC-10 BOX 7351
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-873-0007
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Fax | 787-873-0010
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGELA T. IRIZARRY
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Credential | JD
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Telephone | 787-873-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 07F2331
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License Number State | PR
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