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General NPI Number Information
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NPI Number | 1124387337
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Entity Type | Organization
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Legal Business Name | PHARMACHOICE INC
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 6045 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-5039
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Country | US
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Telephone | 305-418-0046
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Fax | 305-456-2840
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Provider Business Mailing Address
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Address Line | 8019 RIDGE RD SUITE A
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City | PORT RICHEY
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State | FL
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Zip | 34668-7039
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Country | US
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Telephone | 727-378-8581
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH DEGREGORIO
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Credential |
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Telephone | 727-207-9395
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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 |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH26117
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License Number State | FL
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