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General NPI Number Information
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NPI Number | 1053567289
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Entity Type | Organization
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Legal Business Name | QUICKPHARM, INC.
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 114 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32807-3293
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Country | US
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Telephone | 407-737-6633
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Fax | 407-737-6634
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Provider Business Mailing Address
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Address Line | 114 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32807-3293
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Country | US
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Telephone | 407-737-6633
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Fax | 407-737-6634
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CANDIDO CARDENAS
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Credential |
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Telephone | 407-625-5837
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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 |
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License Number State |
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