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General NPI Number Information
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NPI Number | 1710034798
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Entity Type | Organization
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Legal Business Name | FARMACIA VARGAS
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 AVE JESUS T PINERO
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City | SAN JUAN
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State | PR
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Zip | 00921-1819
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Country | US
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Telephone | 787-782-6129
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Fax | 787-749-9077
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Provider Business Mailing Address
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Address Line | 1000 AVE JESUS T PINERO
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City | SAN JUAN
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State | PR
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Zip | 00921-1819
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Country | US
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Telephone | 787-782-6129
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Fax | 787-749-9077
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | PROF. SANDRA C. VARGAS
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Credential | RPH
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Telephone | 787-782-6129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 07F1000
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License Number State | PR
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