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General NPI Number Information
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NPI Number | 1427270057
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Entity Type | Organization
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Legal Business Name | FARMACIA DEL PUEBLO
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | CALLE ALGARIN ESQ. DR. BARRERA
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City | JUNCOS
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State | PR
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Zip | 00777
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Country | US
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Telephone | 787-734-3081
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Fax | 787-734-6767
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Provider Business Mailing Address
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Address Line | PO BOX 1279
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City | JUNCOS
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State | PR
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Zip | 00777
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Country | US
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Telephone | 787-734-3081
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Fax | 787-734-6767
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NILDA A DIAZ
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Credential |
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Telephone | 787-734-3081
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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 | DF-01372-2
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License Number State | PR
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