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General NPI Number Information
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NPI Number | 1205225745
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST PHARMACY INC
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 27581 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33032-8297
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Country | US
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Telephone | 786-650-2114
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Fax | 786-650-2919
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Provider Business Mailing Address
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Address Line | 27581 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33032-8297
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Country | US
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Telephone | 786-650-2114
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Fax | 786-650-2919
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS SANTANA
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Credential |
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Telephone | 786-650-2114
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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 | PH28816
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License Number State | FL
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