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General NPI Number Information
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NPI Number | 1902026727
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Entity Type | Organization
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Legal Business Name | GENEPHARMA CORP.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | AVE. BORINQUEN #2263, BARRIO OBRERO, SANTURCE
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City | SAN JUAN
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State | PR
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Zip | 00915
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Country | US
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Telephone | 787-305-2020
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Fax | 787-689-9291
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Provider Business Mailing Address
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Address Line | PO BOX 260310
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-692-2449
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Fax | 787-740-3666
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ANELIESE AYALA
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Credential |
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Telephone | 787-692-2449
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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 | 18-F3398
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License Number State | PR
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