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General NPI Number Information
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NPI Number | 1962536763
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Entity Type | Organization
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Legal Business Name | FARMACIA ANNETTE INC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | CABRERA DEVELOPMENT LOTE 5 BO SALTO ARRIBA
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City | UTUADO
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State | PR
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Zip | 00641
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Country | US
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Telephone | 787-894-6555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9415
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City | BAYAMON
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State | PR
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Zip | 00960-9415
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Country | US
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Telephone | 787-894-6555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EFRAIN SIERRA
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Credential |
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Telephone | 787-894-6555
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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