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General NPI Number Information
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NPI Number | 1578648713
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Entity Type | Organization
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Legal Business Name | LETTY'S PHARMACY
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | CALLE 65TH INFANTERIA NO. 74 SUR
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City | LAJAS
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State | PR
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Zip | 00667-1690
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Country | US
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Telephone | 787-899-1476
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Fax | 787-899-1710
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Provider Business Mailing Address
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Address Line | PO BOX 1690
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City | LAJAS
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State | PR
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Zip | 00667-1690
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Country | US
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Telephone | 787-899-1476
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Fax | 787-899-1710
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Authorized Official
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Title or Position | TREASURER/SECRETARY
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Name | MRS. LETTY ALAMEDA
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Credential |
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Telephone | 787-614-4446
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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 | 12F2863
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License Number State | PR
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