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General NPI Number Information
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NPI Number | 1144996893
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Entity Type | Organization
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Legal Business Name | CAMALICHE PHARMACY
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 2750 W 68TH ST STE 112
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City | HIALEAH
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State | FL
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Zip | 33016-5447
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Country | US
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Telephone | 786-432-9222
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Fax | 786-432-9223
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Provider Business Mailing Address
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Address Line | 2750 W 68TH ST STE 112
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City | HIALEAH
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State | FL
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Zip | 33016-5447
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Country | US
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Telephone | 786-432-9222
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Fax | 786-432-9223
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | YASMIN CAMALICHE
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Credential | PHARM D
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Telephone | 786-488-0397
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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 |
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License Number State |
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