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General NPI Number Information
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NPI Number | 1841361243
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHARMACY LA PAZ PHARMACY INC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR #2 KM 62.7 BO SABANA HOYOS SECTOR CANDELARIA
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-881-2440
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Fax | 787-880-3258
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Provider Business Mailing Address
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Address Line | CALLE JOSE RODRIGUEZ IRIZARRY #152
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-881-2440
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Fax | 787-880-3258
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. LUIS R MONROUZEAU
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Credential | MBA HCM
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Telephone | 787-878-1548
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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 | 07F2302
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License Number State | PR
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