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General NPI Number Information
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NPI Number | 1174517452
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Entity Type | Organization
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Legal Business Name | BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 376 NORTHLAKE BLVD STE 1008
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5261
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Country | US
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Telephone | 888-292-0744
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Fax | 800-269-5493
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Provider Business Mailing Address
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Address Line | 376 NORTHLAKE BLVD
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5261
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Country | US
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Telephone | 407-830-8820
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Fax | 800-269-5493
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Authorized Official
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Title or Position | COO
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Name | DR. ELVIN MONTANEZ
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Credential | PHARMD
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Telephone | 407-830-8820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PH10680
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH10680
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH10680
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License Number State | FL
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