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NPI 1972794048

NPI 1972794048 : FARMACIA ECONO HUMACAO, INC. : HUMACAO, PR

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General NPI Number Information
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    NPI Number           |    1972794048
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    Entity Type          |    Organization 
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    Legal Business Name  |    FARMACIA ECONO HUMACAO, INC. 
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Dates
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    Enumeration Date     |    08/05/2007
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    CARR #3 KM. 82.5 BO. CATANO HUMACAO SHOPPING CENTER # 11
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    City                 |    HUMACAO
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    State                |    PR
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    Zip                  |    00791-1638
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    Country              |    US
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    Telephone            |    787-852-8480
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    Fax                  |    787-852-5319
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Provider Business Mailing Address
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    Address Line         |    47 CALLE GERARDO NIEVES MERCADO 
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    City                 |    COMERIO
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    State                |    PR
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    Zip                  |    00782-2542
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    Country              |    US
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    Telephone            |    787-852-8480
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    Fax                  |    787-852-5319
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. JUAN C AGOSTO MARTINEZ 
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    Credential           |    
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    Telephone            |    787-852-8480
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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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