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General NPI Number Information
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NPI Number | 1932629466
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Entity Type | Organization
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Legal Business Name | FARMACIA EXPRESS
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 07/11/2017
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Provider Practice Location Address
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Address Line | CARR 3 KM 134.8 PLAZA GUAYAMA MALL
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-2222
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Fax |
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Provider Business Mailing Address
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Address Line | CARR. 3 KM 134.8 PLAZA GUAYAMA MALL
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-2222
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MARIA DIAZ
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Credential | LCDA
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Telephone | 787-866-2222
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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 | 19-F3428
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License Number State | PR
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 19FF-3428
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License Number State |
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Taxonomy #4
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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 | PR
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