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General NPI Number Information
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NPI Number | 1366027625
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Entity Type | Organization
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Legal Business Name | PRYMED MEDICAL CARE INC
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | CARRETERA #2 KM 39.8 BO. ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693-0000
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Country | US
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Telephone | 787-871-0601
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Fax | 787-871-3960
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Provider Business Mailing Address
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Address Line | PO BOX 1427
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City | CIALES
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State | PR
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Zip | 00638-1427
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Country | US
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Telephone | 787-871-0601
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Fax | 787-871-3960
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Authorized Official
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Title or Position | EXECUTIVE DIRECTO
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Name | GLADYS RIVERA-ESTELA
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Credential |
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Telephone | 787-871-0601
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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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