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General NPI Number Information
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NPI Number | 1740321959
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Entity Type | Organization
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Legal Business Name | SUPER FARMACIA MI BTOTICA
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | IGNACIO ARZUAGA STREET #5-E
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-769-0058
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Fax | 787-768-0855
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Provider Business Mailing Address
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Address Line | IGNACIO ARZUAGA STREET #5-E
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-769-0058
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Fax | 787-768-0855
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Authorized Official
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Title or Position | FARMACEUTICA
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Name | MAYTE L VIZCARRONDO
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Credential |
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Telephone | 787-630-7989
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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 | 09-F-1740
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License Number State | PR
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