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General NPI Number Information
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NPI Number | 1467498261
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Entity Type | Organization
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Legal Business Name | FARMACIA GRANDE DORADO
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 693 ROAD KM 8 DORADO DEL MAR SHP CNTR
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-278-6011
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Fax | 787-278-6012
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | CATANO
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State | PR
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Zip | 00963-0458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHCY DIR
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Name | LINNETTE VALLELLANES
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Credential |
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Telephone | 787-638-8955
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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 | 07F2319
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License Number State | PR
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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 |
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License Number State |
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