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General NPI Number Information
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NPI Number | 1497807275
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Entity Type | Organization
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Legal Business Name | FIRST PHARMACY 2
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 670 AVE PONCE DE LEON MIRAMAR
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City | SAN JUAN
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State | PR
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Zip | 00907-3207
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Country | US
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Telephone | 787-725-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 670 AVE PONCE DE LEON MIRAMAR
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City | SAN JUAN
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State | PR
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Zip | 00907-3286
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Country | US
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Telephone | 787-725-2390
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Fax | 787-721-3733
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Authorized Official
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Title or Position | OWNER
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Name | MR. HASSAN SABRI HAMID
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Credential |
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Telephone | 787-725-2390
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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 | 18-F-3400
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License Number State | PR
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