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General NPI Number Information
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NPI Number | 1336958560
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Entity Type | Organization
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Legal Business Name | FARMACIA ESTEFANIA LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | CARR 412 KM 6.3 BO JAGUEY
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City | RINCON
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State | PR
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Zip | 00677
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Country | US
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Telephone | 787-818-7080
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Fax | 787-818-7082
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Provider Business Mailing Address
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Address Line | PO BOX 1232
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-818-7080
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Fax | 787-818-7082
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE LORRAINE MENDEZ VELEZ
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Credential |
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Telephone | 787-246-0583
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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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