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General NPI Number Information
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NPI Number | 1336939883
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Entity Type | Organization
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Legal Business Name | MEDX PHARMA EXPERIENCE
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | CALLE RAMON E. BETANCES 392 SUR
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-805-4707
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Fax | 787-805-4707
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | MAYAGUEZ
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State | PR
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Zip | 00681-0190
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Country | US
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Telephone | 787-831-5800
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Fax | 787-831-5800
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Authorized Official
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Title or Position | CEO
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Name | TANIA RODRIGUEZ
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Credential | DRA
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Telephone | 787-831-1580
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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