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General NPI Number Information
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NPI Number | 1861533242
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Entity Type | Organization
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Legal Business Name | F R B FARMACIAS INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | CARR 31 KM 13 8 BO PENA POBRE
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City | NAGUABO
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State | PR
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Zip | 00718-9726
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Country | US
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Telephone | 787-874-3174
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Fax | 787-874-2770
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Provider Business Mailing Address
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Address Line | AVENIDA RAFAEL CORDERO 17
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-874-3176
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Fax | 787-874-1030
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Authorized Official
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Title or Position | PHARMACIST/PRES
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Name | CARLOS OCASIO ROLDAN
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Credential |
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Telephone | 787-315-2056
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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 | 17F2060
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License Number State | PR
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