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General NPI Number Information
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NPI Number | 1992928501
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Entity Type | Organization
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Legal Business Name | GOLDEN SOLUTION RX DISTRIBUTOR
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR. 183 KM. 19.2 BO. MONTONES
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-733-2601
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Fax | 787-733-2597
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Provider Business Mailing Address
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Address Line | PO BOX 3389
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City | JUNCOS
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State | PR
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Zip | 00777-6389
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Country | US
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Telephone | 787-733-2601
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Fax | 787-733-2597
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERTO MARTINEZ
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Credential |
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Telephone | 787-733-2601
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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 | PR
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