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General NPI Number Information
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NPI Number | 1093089666
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Entity Type | Organization
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Legal Business Name | RODZ PRESCRIPTION CENTER INC
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1647 SUN CITY CENTER PLZ
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-5373
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Country | US
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Telephone | 813-633-5577
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 SUN CITY CENTER PLZ
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-5373
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Country | US
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Telephone | 813-633-5577
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | ERNEST RODRIGUEZ
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Credential |
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Telephone | 813-600-8556
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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 | PH25924
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License Number State | FL
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