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General NPI Number Information
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NPI Number | 1770564460
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Entity Type | Organization
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Legal Business Name | BARRANGUITAS DRUG CENTER INC
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | CARR. 156 KM 16.8 SECTOR EL PORTON
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City | BARRANQUITAS
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State | PR
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Zip | 00794
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Country | US
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Telephone | 787-857-3035
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Fax | 787-857-4093
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Provider Business Mailing Address
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Address Line | PO BOX 879
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City | BARRANQUITAS
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State | PR
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Zip | 00794-0879
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Country | US
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Telephone | 787-857-3035
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Fax | 787-857-4093
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE HERNANDEZ
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Credential |
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Telephone | 787-857-3035
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 18F3021
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License Number State | PR
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