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General NPI Number Information
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NPI Number | 1629646401
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Entity Type | Organization
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Legal Business Name | FARMACIA GABRIELA INC.
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | CARR 54 KM 0.5 BO. MACHETE, EL MOLINO SHOPPING CENTER
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-391-3056
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 801214
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City | COTO LAUREL
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State | PR
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Zip | 00780-1214
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Country | US
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Telephone | 787-391-3056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD SOLER
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Credential | OWNER
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Telephone | 787-391-3203
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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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