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General NPI Number Information
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NPI Number | 1851472229
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Entity Type | Organization
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Legal Business Name | FARWIACIA GENERILA RAWALLOSA
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | BARRIO MULAS CARR. 174 KM 21.1
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City | AGUAS BUENAS
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State | PR
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Zip | 00703
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Country | US
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Telephone | 787-732-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-0270
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Country | US
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Telephone | 787-732-7900
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Fax | 787-732-6658
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAMON HERNANDEZ REYES
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Credential | PHARMACIST
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Telephone | 787-732-7900
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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 |
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License Number State |
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