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General NPI Number Information
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NPI Number | 1174599385
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Entity Type | Organization
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Legal Business Name | MAGIC DOLLAR PHARMACY INC.
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1802 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3115
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Country | US
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Telephone | 305-883-7126
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Fax | 305-883-7125
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Provider Business Mailing Address
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Address Line | 1802 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3115
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Country | US
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Telephone | 305-883-7126
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Fax | 305-883-7125
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANICK DEL PINO
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Credential |
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Telephone | 305-321-7664
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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 | PH21539
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License Number State | FL
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