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General NPI Number Information
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NPI Number | 1346764362
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Entity Type | Organization
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Legal Business Name | TO GO PHARMACY & MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | URB BARALT G-10 LOCAL 2
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City | FAJARDO
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State | PR
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Zip | 00738-1792
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Country | US
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Telephone | 787-468-4850
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Fax | 787-468-4852
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Provider Business Mailing Address
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Address Line | PO BOX 1792
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City | SABANA SECA
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State | PR
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Zip | 00952-1792
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Country | US
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Telephone | 787-530-0071
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIAN LOPEZ
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Credential |
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Telephone | 787-530-0071
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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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