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General NPI Number Information
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NPI Number | 1851489082
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PHARMACY
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARRETERA 187 KM5 BARRIO LA TORRE
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-791-9852
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Fax | 787-791-9859
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Provider Business Mailing Address
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Address Line | PO BOX 4550
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City | CAROLINA
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State | PR
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Zip | 00984-4550
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Country | US
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Telephone | 787-791-9852
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Fax | 787-791-9859
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN CARLOS MUNTANER
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Credential |
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Telephone | 787-791-9852
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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 | 07-F-2265
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License Number State | PR
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