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General NPI Number Information
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NPI Number | 1629215942
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Entity Type | Organization
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Legal Business Name | FARMACIA LA ECONOMIA
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | URB. LOMAS VERDES CALLE CLAVEL F-33
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City | BAYAMON
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State | PR
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Zip | 00956-3258
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Country | US
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Telephone | 787-779-6554
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LOMAS VERDES CALLE CLAVEL F-33
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City | BAYAMON
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State | PR
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Zip | 00956-3258
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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 | MR. FRANCISCO MARZAN
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Credential |
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Telephone | 787-779-6554
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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 | 09-F-2109
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License Number State | PR
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