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General NPI Number Information
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NPI Number | 1063082451
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Entity Type | Organization
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Legal Business Name | ROCKET RX PHARMACY CORP
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 729 E 9TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-4553
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Country | US
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Telephone | 786-773-5845
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Fax | 786-773-5708
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Provider Business Mailing Address
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Address Line | 729 E 9TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-4553
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Country | US
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Telephone | 786-773-5845
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Fax | 786-773-5708
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Authorized Official
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Title or Position | VICE PRES
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Name | MIRELYS HERNANDEZ
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Credential |
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Telephone | 305-469-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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