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General NPI Number Information
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NPI Number | 1346091675
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Entity Type | Organization
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Legal Business Name | AMERICA GROUP INC.
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | CARR. #3 ESQ, CALLE IGUALDAD SUITE 2
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-655-0090
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Fax | 787-655-0091
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | RIO GRANDE
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State | PR
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Zip | 00745-0162
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Country | US
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Telephone | 787-655-0090
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Fax | 787-655-0091
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | IZETTE MILAGROS DEL MORAL
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Credential | RPH
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Telephone | 904-540-5303
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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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