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General NPI Number Information
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NPI Number | 1578992103
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Entity Type | Organization
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Legal Business Name | FARMACIA LAS COLINAS ISABELA INC
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | CARR. 4494 KM 5.8 BO ARENALES BAJOS
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-830-8888
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Fax | 787-830-8888
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Provider Business Mailing Address
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Address Line | PO BOX 290
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City | ISABELA
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State | PR
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Zip | 00662-0290
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZAIDA CORTES
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Credential |
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Telephone | 787-425-7017
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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 | 15-F-3172
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License Number State | PR
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