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General NPI Number Information
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NPI Number | 1184106668
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Entity Type | Organization
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Legal Business Name | SMP PHARMACY SOLUTIONS #3, LLC
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 6050 S DIXIE HWY STE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5046
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Country | US
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Telephone | 855-208-8358
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Fax | 888-971-3822
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Provider Business Mailing Address
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Address Line | 6050 S DIXIE HWY STE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5046
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Country | US
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Telephone | 855-208-8358
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Fax | 888-971-3822
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARMANDO BARDISA
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Credential | PHARMD
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Telephone | 855-208-8358
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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 | PH31630
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License Number State | FL
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