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General NPI Number Information
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NPI Number | 1881792562
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Entity Type | Organization
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Legal Business Name | FARMACIA SANTA OLAYA INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | CARRETERA 829 KM 6. 7 BO SANTA OLAYA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-797-4966
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Fax | 787-797-5117
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Provider Business Mailing Address
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Address Line | RR 12 BOX 1367
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City | BAYAMON
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State | PR
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Zip | 00956-9401
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Country | US
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Telephone | 787-797-4966
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Fax | 787-797-5117
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Authorized Official
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Title or Position | OWNER
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Name | JAIME FIGUEROA
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Credential |
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Telephone | 787-797-4966
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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 | 18F2835
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License Number State | PR
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