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General NPI Number Information
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NPI Number | 1083871222
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Entity Type | Organization
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Legal Business Name | YOUNIQUE PHARMACY INC.
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 12963 WEST OKEECHOBEE RD STE 2
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-6055
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Country | US
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Telephone | 305-817-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 12963 WEST OKEECHOBEE RD STE 2
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-6055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSCAR ARMANDO RON
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Credential |
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Telephone | 305-817-0904
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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 | PH 23284
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License Number State | FL
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