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General NPI Number Information
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NPI Number | 1194193201
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Entity Type | Organization
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Legal Business Name | VITACARE PRESCRIPTION SERVICES
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 951 YAMATO RD STE 160
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City | BOCA RATON
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State | FL
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Zip | 33431-4432
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Country | US
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Telephone | 561-961-1902
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Fax | 800-891-4320
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Provider Business Mailing Address
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Address Line | 951 YAMATO RD STE 160
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City | BOCA RATON
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State | FL
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Zip | 33431-4432
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Country | US
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Telephone | 561-961-1902
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Fax | 800-891-4320
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | DANIEL EDWARD FLYNN
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Credential |
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Telephone | 954-295-9880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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