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NPI 1164410346

NPI 1164410346 : TONYMAR DRUGS CORPORATION : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1164410346
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    Entity Type          |    Organization 
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    Legal Business Name  |    TONYMAR DRUGS CORPORATION 
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Dates
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    Enumeration Date     |    10/11/2005
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    Last Update Date     |    03/28/2012
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Provider Practice Location Address
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    Address Line         |    505 SW 8TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33130-3413
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    Country              |    US
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    Telephone            |    305-856-2211
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    Fax                  |    305-856-5682
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Provider Business Mailing Address
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    Address Line         |    505 SW 8TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33130-3413
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    Country              |    US
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    Telephone            |    305-856-2211
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    Fax                  |    305-856-5682
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JAVIER  PERAL 
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    Credential           |    
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    Telephone            |    305-856-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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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        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    PH2536
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    License Number State |    FL
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