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General NPI Number Information
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NPI Number | 1386665131
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Entity Type | Organization
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Legal Business Name | YANDRO INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 1320 AVE SAN ALFONSO
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City | SAN JUAN
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State | PR
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Zip | 00921-3621
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Country | US
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Telephone | 787-782-6403
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Fax | 787-782-0630
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Provider Business Mailing Address
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Address Line | 1320 AVE SAN ALFONSO
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City | SAN JUAN
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State | PR
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Zip | 00921-3621
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Country | US
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Telephone | 787-782-6403
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Fax | 787-782-0630
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEJANDRO REYES SANTIAGO
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Credential |
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Telephone | 787-782-6403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 19F1456
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License Number State | PR
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