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General NPI Number Information
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NPI Number | 1548916851
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Entity Type | Organization
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Legal Business Name | FARMACIA VILLAS DE CASTRO INC.
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | CARR. 183 CALLE 2 A-18 URB. VILLAS DE CASTRO
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-744-5544
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Fax | 787-746-0962
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Provider Business Mailing Address
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Address Line | PO BOX 8158
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City | CAGUAS
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State | PR
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Zip | 00726-8158
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Country | US
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Telephone | 787-744-5544
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Fax | 787-746-0962
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Authorized Official
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Title or Position | CEO
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Name | JOSE LEON GONZALEZ
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Credential |
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Telephone | 787-744-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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