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NPI Code Detail

MEDICARE: EMPRESAS RPR FARMACIA LA CANDELARIA INC.

MEDICARE: EMPRESAS RPR FARMACIA LA CANDELARIA INC.
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 Pharmacy10F2685PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14018710OTHERPRPHARMACY

General Provider Information

NPI Number : 1669512505
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPRESAS RPR FARMACIA LA CANDELARIA INC.
Provider Business Mailing Address
First Line : 68 CALLE RAMOS ANTONINI E
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680-4929
Country : US
Telephone Number : 787-832-3284
Fax Number : 787-832-3284
Provider Business Practice Location Address
First Line : 68 CALLE RAMOS ANTONINI E
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680-4929
Country : US
Telephone Number : 787-832-3284
Fax Number : 787-832-3284
Authorized Official
Title or Position : OWNER
Name : MS. RUTH DELLY PEREZ RIVERA
Credential :
Telephone Number : 787-832-3284
Provider Enumeration Date : 02/08/2007
Last Update Date : 04/29/2009

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Directions to “EMPRESAS RPR FARMACIA LA CANDELARIA INC. ” Practice Location

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