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General NPI Number Information
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NPI Number | 1639963382
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Entity Type | Organization
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Legal Business Name | FARMACIA LA NUEVA CANDELARIA, LLC.
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 68 CALLE RAMOS ANTONINI E
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4929
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Country | US
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Telephone | 787-986-7533
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Fax | 787-827-7319
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Provider Business Mailing Address
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Address Line | 68 CALLE RAMOS ANTONINI E
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4929
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Country | US
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Telephone | 787-986-7533
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Fax | 787-827-7319
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Authorized Official
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Title or Position | CEO
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Name | DR. EDGAR RIVERA
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Credential | PHARMD
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Telephone | 787-986-7533
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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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