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General NPI Number Information
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NPI Number | 1831216126
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Entity Type | Organization
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Legal Business Name | FARMACIA PINA
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | CARR 861 # KM 5/8 BO. MUCARABONES
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City | TOA ALTA
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State | PR
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Zip | 00953-8528
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Country | US
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Telephone | 787-279-0731
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Fax | 787-279-7050
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Provider Business Mailing Address
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Address Line | URB PRADERAS DEL RIO 3001 CALLE RIO BUCANA
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-279-0731
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Fax | 787-279-7050
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Authorized Official
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Title or Position | OWNER
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Name | JOSE ROSADO
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Credential |
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Telephone | 787-399-9269
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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 | 18-F-2792
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License Number State | PR
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