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General NPI Number Information
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NPI Number | 1518016872
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Entity Type | Organization
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Legal Business Name | CONSTANCIA PHARMACY, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | CARR # 2 KM 166.4 BO LAVADEROS
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City | HORMIGUEROS
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State | PR
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Zip | 00660-0784
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Country | US
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Telephone | 787-849-1714
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Fax | 787-849-1715
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Provider Business Mailing Address
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Address Line | PO BOX 784
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City | HORMIGUEROS
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State | PR
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Zip | 00660-0784
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Country | US
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Telephone | 787-849-1714
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Fax | 787-849-1715
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEYLA Z TRAVERSO
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Credential | RPH
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Telephone | 787-849-1714
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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 | 07-F-2237
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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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