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General NPI Number Information
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NPI Number | 1659404697
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Entity Type | Organization
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Legal Business Name | FARMACIA TRES HERMANOS INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | CARR 401 TRES HERMANOS BO PLAYA CARR 401 KM0.9
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City | ANASCO
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State | PR
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Zip | 00610-0000
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Country | US
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Telephone | 787-826-6453
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Fax | 787-826-6453
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Provider Business Mailing Address
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Address Line | CARR 401 TRES HERMANOS BO PLAYA CARR 401 KM0.9
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City | ANASCO
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State | PR
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Zip | 00610-0000
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Country | US
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Telephone | 787-826-6453
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Fax | 787-826-6453
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | LEIDA E RODRIGUEZ
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Credential |
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Telephone | 787-826-6453
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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 | 5631-06
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License Number State | PR
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