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General NPI Number Information
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NPI Number | 1063650208
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE PHARMACY INC
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 7177 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-2906
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Country | US
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Telephone | 561-964-2700
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Fax | 561-964-2711
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Provider Business Mailing Address
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Address Line | 7177 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-2906
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Country | US
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Telephone | 561-964-2700
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Fax | 561-964-2711
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Authorized Official
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Title or Position | PRESIDENT-PHARMACY MANAGER
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Name | MOHSIN NAEEM
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Credential | RPH
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Telephone | 561-964-2700
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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 | 035543
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054020452
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | NP000988
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHNR001218
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31467
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | NRP.022827700-02
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2017028386
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23575
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License Number State | FL
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