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General NPI Number Information
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NPI Number | 1881725265
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Entity Type | Organization
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Legal Business Name | PUERTO RICO DRUG COMPANY, INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 157 CALLE DE SAN FRANCISCO
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City | SAN JUAN
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State | PR
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Zip | 00901-1607
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Country | US
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Telephone | 787-725-2202
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Fax | 787-977-0204
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Provider Business Mailing Address
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Address Line | PO BOX 9023833
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City | SAN JUAN
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State | PR
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Zip | 00902-3833
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Country | US
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Telephone | 787-725-2202
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Fax | 787-977-0204
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Authorized Official
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Title or Position | REGENT PHARMACIST
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Name | MRS. ZORAIDA E. RODRIGUEZ
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Credential | RPH
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Telephone | 787-725-2202
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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 | 07-F-0665
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License Number State | PR
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