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NPI Code Detail

MEDICARE: MRS. NORMA I MACHUCA R.PH

MEDICARE: MRS. NORMA I MACHUCA R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy004212PR

General Provider Information

NPI Number : 1194364166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NORMA I MACHUCA R.PH
Provider Business Mailing Address
First Line : PO BOX 360186
Second Line :
City : SAN JUAN
State : PR
Zip : 00936-0186
Country : US
Telephone Number : 787-635-4055
Fax Number :
Provider Business Practice Location Address
First Line : 2550 AVE DE DIEGO
Second Line :
City : CAROLINA
State : PR
Zip : 00987-4800
Country : US
Telephone Number : 787-762-8412
Fax Number : 787-762-8479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2019
Last Update Date : 12/23/2019

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