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General NPI Number Information
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NPI Number | 1134435951
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Entity Type | Organization
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Legal Business Name | PHARMACY PARTNERS
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 901 N CONGRESS AVE STE B101
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3317
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Country | US
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Telephone | 561-734-7433
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Fax | 561-734-7544
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Provider Business Mailing Address
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Address Line | 901 N CONGRESS AVE SUITE B101
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3316
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Country | US
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Telephone | 561-734-7433
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Fax | 561-734-7544
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Authorized Official
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Title or Position | PRESIDENT
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Name | CASEY KELLEHER
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Credential |
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Telephone | 561-374-2440
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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 | PH24797
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License Number State | FL
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