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General NPI Number Information
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NPI Number | 1891827432
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Entity Type | Organization
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Legal Business Name | SUPER FARMACIA MAYI
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 13 CALLE PRINCIPAL URB. EL RETIRO
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City | SAN GERMAN
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State | PR
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Zip | 00683-4180
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Country | US
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Telephone | 787-892-1485
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Fax | 787-264-1036
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Provider Business Mailing Address
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Address Line | 13 CALLE PRINCIPAL
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City | SAN GERMAN
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State | PR
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Zip | 00683-4180
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Country | US
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Telephone | 787-892-1485
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Fax | 787-892-5985
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. REY J RODRIGUEZ
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Credential | PHA B.S.
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Telephone | 787-892-1485
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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 |
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License Number State |
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