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General NPI Number Information
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NPI Number | 1891706446
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Entity Type | Organization
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Legal Business Name | SUPER FARMACIA LUVAMAR INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | EDIF.PASEO DEL RIO CARR. 405 KM. 0.9 BO. CARRERAS
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-9292
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Fax | 787-826-9393
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Provider Business Mailing Address
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Address Line | PO BOX 518
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City | ANASCO
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State | PR
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Zip | 00610-0518
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Country | US
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Telephone | 787-826-9292
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Fax | 787-826-9393
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA ALCREA
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Credential | RPH
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Telephone | 787-380-1004
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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 | 16F2378
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License Number State | PR
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