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General NPI Number Information
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NPI Number | 1477696516
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Entity Type | Organization
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Legal Business Name | FARMACIA CUPEY GARDENS
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 200 AVE CUPEY GDNS PLAZA STE. 1E
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City | RIO PIEDRAS
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State | PR
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Zip | 00926-7341
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Country | US
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Telephone | 787-761-1212
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Fax | 787-761-1255
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Provider Business Mailing Address
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Address Line | CUPEY GARDENS AVE. CUPEY GARDENS PLAZA STE. 1E
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-761-1212
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Fax | 787-761-1255
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Authorized Official
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Title or Position | PHARMACIST
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Name | EDGARDO PEREZ
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Credential |
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Telephone | 787-761-1212
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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 | 07F1735
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License Number State | PR
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