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General NPI Number Information
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NPI Number | 1194198374
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Entity Type | Organization
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Legal Business Name | CENTRAL PHARMACY INC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 333 W THOMAS RD STE 102
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City | PHOENIX
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State | AZ
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Zip | 85013-4401
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Country | US
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Telephone | 480-444-6612
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Fax | 480-371-2757
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Provider Business Mailing Address
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Address Line | 333 W THOMAS RD STE 102
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City | PHOENIX
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State | AZ
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Zip | 85013-4401
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Country | US
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Telephone | 480-444-6612
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Fax | 480-371-2757
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Authorized Official
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Title or Position | OWNER,CFO, PIC, AO
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Name | MOHAMED ESLAM ELMISSIREY
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Credential | RPH
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Telephone | 480-444-6612
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y006673
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License Number State | AZ
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