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General NPI Number Information
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NPI Number | 1861624231
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Entity Type | Organization
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Legal Business Name | FARMA EXPRESS
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | CARRETERA 891 KM 13 BO PUEBLO PLAZA DEL CARMEN SUITE 201
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-859-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 620
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City | COROZAL
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State | PR
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Zip | 00783-0620
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Country | US
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Telephone | 787-859-4444
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MIGUEL A ORTIZ
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Credential |
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Telephone | 787-859-4444
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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 | 11F2753
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License Number State |
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