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General NPI Number Information
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NPI Number | 1720122237
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Entity Type | Organization
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Legal Business Name | NUEVA FARMACIA MANATIENA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 103 PASEO DE LA ATENAS
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City | MANATI
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State | PR
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Zip | 00674-5472
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Country | US
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Telephone | 787-854-4995
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 786
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City | MANATI
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State | PR
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Zip | 00674-0786
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | IRMA SALGADO DE VALENTIN
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Credential |
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Telephone | 787-854-4995
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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 | 07-F-0134
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License Number State | PR
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