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General NPI Number Information
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NPI Number | 1487790473
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Entity Type | Organization
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Legal Business Name | FARMACIA SALCEDO
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 DE INFANTERIA PLAZA SALCEDO
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City | ANASCO
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State | PR
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Zip | 00610-0175
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Country | US
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Telephone | 787-826-4145
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Fax | 787-826-4145
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Provider Business Mailing Address
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Address Line | FARMACIA SALCEDO P.O. BOX 175
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City | ANASCO
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State | PR
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Zip | 00610-0175
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Country | US
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Telephone | 787-826-4145
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Fax | 787-826-4145
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Authorized Official
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Title or Position | MANAGER
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Name | MISS LUZ N LEBRON
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Credential |
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Telephone | 787-826-4145
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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 | 4023711
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License Number State | PR
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