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General NPI Number Information
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NPI Number | 1508132994
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Entity Type | Organization
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Legal Business Name | PHARMA EXPRESS MC CORP
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | CALLE 50-A BLOQUE 7 SUITE #8 ROYAL TOWN
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-279-3787
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Fax | 787-799-4800
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Provider Business Mailing Address
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Address Line | CALLE 50-A BLOQUE 7 SUITE #8 ROYAL TOWN
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-279-3787
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Fax | 787-799-4800
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Authorized Official
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Title or Position | MANAGER
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Name | AARON GONZALEZ
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Credential |
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Telephone | 787-279-3787
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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 |
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License Number State |
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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 | 14-F-3038
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License Number State | PR
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