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General NPI Number Information
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NPI Number | 1639101231
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Entity Type | Organization
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Legal Business Name | FSA RX LLC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 4 AVE MUNOZ RIVERA N # 4
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City | CAYEY
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State | PR
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Zip | 00736-3715
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Country | US
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Telephone | 787-738-3010
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Fax | 787-738-6145
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Provider Business Mailing Address
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Address Line | PO BOX 370523
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City | CAYEY
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State | PR
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Zip | 00737-0523
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Country | US
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Telephone | 787-738-3010
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Fax | 787-738-6145
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NELSON GUILLERMO RAMIREZ
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Credential |
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Telephone | 787-738-3010
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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 | 19F0484
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License Number State | PR
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