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General NPI Number Information
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NPI Number | 1942358858
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Entity Type | Organization
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Legal Business Name | HIGHWAY PHARMACY MALL INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | PLAZA OASIS CARR 153 KM 6.2
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-6272
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Fax | 787-845-6272
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Provider Business Mailing Address
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Address Line | PO BOX 1902
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City | COAMO
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State | PR
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Zip | 00769-1902
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Country | US
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Telephone | 787-845-6272
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Fax | 787-845-6272
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Authorized Official
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Title or Position | PRESIDENT/CHIEF PHARMACIST
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Name | DR. JOMARIE ORTIZ RIVERA
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Credential | PHARM.D.
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Telephone | 787-478-0215
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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 | 07F2001
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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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