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General NPI Number Information
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NPI Number | 1588658611
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Entity Type | Organization
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Legal Business Name | LC PHARMA-TECK INC.
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Dates
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Enumeration Date | 09/04/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1644 CALLE PARANA URB. EL CEREZAL
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City | SAN JUAN
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State | PR
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Zip | 00926-3145
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Country | US
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Telephone | 787-758-6333
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Fax | 787-751-7439
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Provider Business Mailing Address
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Address Line | PO BOX 366263
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City | SAN JUAN
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State | PR
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Zip | 00936-6263
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Country | US
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Telephone | 787-758-6333
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Fax | 787-751-7439
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS V CLAS
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Credential |
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Telephone | 787-758-6333
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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 | 07-F-2201
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 07-F-2201
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 07-F-2201
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 07-F-2201
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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