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General NPI Number Information
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NPI Number | 1134492408
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Entity Type | Organization
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Legal Business Name | NAVARRO DISCOUNT PHARMACIES NO 35, LLC
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 15895 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1220
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Country | US
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Telephone | 954-602-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 NW 104TH ST
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City | MEDLEY
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State | FL
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Zip | 33178-1333
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Country | US
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Telephone | 305-636-3000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ALBERT GARCIA
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Credential |
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Telephone | 954-602-5610
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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 | PH25923
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License Number State | FL
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