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General NPI Number Information
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NPI Number | 1033288972
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Entity Type | Organization
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Legal Business Name | KINGS PHARMACY, INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2814 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5010
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Country | US
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Telephone | 954-575-7085
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Fax |
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Provider Business Mailing Address
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Address Line | 2814 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID WOLMAN
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Credential |
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Telephone | 954-575-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH0018263
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License Number State | FL
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