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General NPI Number Information
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NPI Number | 1962557215
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Entity Type | Organization
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Legal Business Name | FARMACIA PADUA, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | FARMACIA PADUA GUILLERMO ESTEVES # 63
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City | JAYUYA
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State | PR
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Zip | 00664
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Country | US
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Telephone | 787-828-4265
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Fax | 787-828-0279
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Provider Business Mailing Address
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Address Line | PO BOX 796 GUILLERMO ESTEVES # 63
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City | JAYUYA
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State | PR
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Zip | 00664-0796
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Country | US
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Telephone | 178-782-8426
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Fax | 178-782-8027
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADRIAN PADUA
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Credential | LIC
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Telephone | 17878284265
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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 | AF4197908
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License Number State | PR
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