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General NPI Number Information
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NPI Number | 1598743676
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Entity Type | Organization
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Legal Business Name | FARMACIA VAZQUEZ LLC
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | CALLE JOSE DE DIEGO #54
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-263-2444
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Fax | 787-263-2444
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Provider Business Mailing Address
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Address Line | CALLE JOSE DE DIEGO #54
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-263-2444
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Fax | 787-738-1444
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Authorized Official
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Title or Position | OWNER
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Name | DR. IVAN R RIVERA
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Credential | PHARM D
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Telephone | 787-263-2444
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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 |
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License Number State |
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