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General NPI Number Information
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NPI Number | 1083049514
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE PHARMACYAND DISCOUNT INC
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 5143 SW 8TH ST SUITE A
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City | CORAL GABLES
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State | FL
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Zip | 33134-2442
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Country | US
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Telephone | 305-569-9000
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Fax | 305-569-9100
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Provider Business Mailing Address
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Address Line | 5143 SW 8TH ST SUITE A
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City | CORAL GABLES
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State | FL
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Zip | 33134-2442
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Country | US
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Telephone | 305-569-9000
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Fax | 305-569-9100
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEJANDRO HERNANDEZ
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Credential |
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Telephone | 305-569-9000
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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 | FL
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