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General NPI Number Information
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NPI Number | 1457430696
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Entity Type | Organization
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Legal Business Name | FARMACIA BETANCES INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 83 CALLE BETANCES
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City | CAGUAS
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State | PR
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Zip | 00725-3514
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Country | US
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Telephone | 787-743-2000
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Fax | 787-743-2000
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Provider Business Mailing Address
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Address Line | 83 CALLE BETANCES
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City | CAGUAS
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State | PR
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Zip | 00725-3514
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Country | US
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Telephone | 787-743-2000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ENNIE V. LOPEZ
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Credential | RPH
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Telephone | 787-743-2000
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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-0259
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License Number State | PR
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