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General NPI Number Information
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NPI Number | 1437155736
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Entity Type | Organization
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Legal Business Name | FARMACIA LA SALUD, INC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | CARR. 1. KM 29.2 BO. RIO CANAS.
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-286-0455
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Fax | 787-746-7145
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Provider Business Mailing Address
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Address Line | PMB 512. 200 AVE. RAFAEL CORDERO STE 140
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City | CAGUAS
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State | PR
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Zip | 00725-3757
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Country | US
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Telephone | 787-286-0455
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Fax | 787-746-7145
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAUL SANCHEZ
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Credential |
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Telephone | 787-286-0455
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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 | 4488-02
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 05-F-2021
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License Number State | PR
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