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NPI Code Detail

MEDICARE: MARIA LOURDES REY RPH

MEDICARE: MARIA LOURDES REY RPH
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
1183500000XPharmacist3643PR

General Provider Information

NPI Number : 1902922214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LOURDES REY RPH
Provider Business Mailing Address
First Line : PO BOX 36
Second Line :
City : BAJADERO
State : PR
Zip : 00616-0036
Country : US
Telephone Number : 787-816-6878
Fax Number :
Provider Business Practice Location Address
First Line : 259 AVE JUAN ROSADO
Second Line :
City : ARECIBO
State : PR
Zip : 00612-4826
Country : US
Telephone Number : 787-878-3510
Fax Number : 787-817-7740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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