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General NPI Number Information
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NPI Number | 1366586067
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Entity Type | Organization
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Legal Business Name | FARMACIA EL YUNQUE INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | CALLE PIMENTEL 41 C3
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-888-1700
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Fax | 787-887-7226
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Provider Business Mailing Address
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Address Line | CALLE PIMENTEL 41 C3
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-888-1700
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Fax | 787-887-7226
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Authorized Official
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Title or Position | PHRM
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Name | MARIBEL FERNANDEZ CHARBONIER
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Credential | RPH
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Telephone | 787-888-1700
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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 | 17F3146
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License Number State | PR
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