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General NPI Number Information
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NPI Number | 1063550325
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Entity Type | Organization
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Legal Business Name | PAL LABORATORIES INC.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10655 NW 29TH TER
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City | DORAL
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State | FL
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Zip | 33172-2197
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Country | US
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Telephone | 305-463-2289
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Fax | 305-463-2262
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Provider Business Mailing Address
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Address Line | 10655 NW 29TH TER
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City | DORAL
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State | FL
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Zip | 33172-2197
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Country | US
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Telephone | 305-463-2289
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Fax | 305-463-2262
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MAYRA GONZALEZ-ABREU
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Credential | PHARM. D.
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Telephone | 305-463-2289
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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 | PH0018008
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License Number State | FL
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