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General NPI Number Information
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NPI Number | 1396890190
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Entity Type | Organization
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Legal Business Name | ONESTOPPRESCRIPTIONISLAVERDE
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 AVE LOS GOBERNADORES AIRPORT PLAZA, ISLA VERDE
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City | CAROLINA
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State | PR
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Zip | 00979-7077
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Country | US
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Telephone | 787-791-1290
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Fax | 787-791-1307
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Provider Business Mailing Address
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Address Line | 150 AVE LOS GOBERNADORES ISLAVERDE
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-791-1290
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Fax | 787-791-1307
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Authorized Official
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Title or Position | SECRETARYTRESSURE
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Name | MRS. NORMA M RIVERA
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Credential | RPH
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Telephone | 787-791-1290
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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 | 07-F-2214
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License Number State | PR
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