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General NPI Number Information
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NPI Number | 1396104386
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Entity Type | Organization
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Legal Business Name | SD PHARMACY INC
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | BO AMUELAS SECTOR GUANABANOS CARR 510 KM 6.5
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-651-6920
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Fax | 787-651-6130
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Provider Business Mailing Address
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Address Line | PO BOX 85
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City | MERCEDITA
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State | PR
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Zip | 00715
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Country | US
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Telephone | 787-651-6920
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Fax | 787-651-6130
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SAYRILIZ PEREZ DIAZ
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Credential |
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Telephone | 787-651-6920
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 18-F-3345
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License Number State | PR
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