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General NPI Number Information
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NPI Number | 1740336593
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Entity Type | Organization
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Legal Business Name | FARMACIA BORIKEN
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | ROAD 119 KM 9.0 BO. CIENAGAS
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-820-2148
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Fax | 787-820-8181
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Provider Business Mailing Address
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Address Line | HC 6 BOX 61400
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City | CAMUY
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State | PR
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Zip | 00627-9022
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Country | US
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Telephone | 787-820-2148
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Fax | 787-820-8181
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Authorized Official
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Title or Position | CHIEF PHARMACIST AND OWNER
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Name | MRS. PATRIA M LUGO
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Credential | RPH
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Telephone | 787-820-2148
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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 | 07-F2281
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License Number State | PR
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