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General NPI Number Information
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NPI Number | 1063689099
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Entity Type | Organization
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Legal Business Name | PHARMACY HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 12421 LAKERIDGE FALLS DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6310
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Country | US
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Telephone | 561-827-6000
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Fax | 561-740-9885
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Provider Business Mailing Address
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Address Line | 12421 LAKERIDGE FALLS DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6310
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Country | US
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Telephone | 561-827-6000
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Fax | 561-740-9885
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STANLEY FRIEDMAN
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Credential | R.PH
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Telephone | 561-827-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | PU 3386
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License Number State | FL
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