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General NPI Number Information
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NPI Number | 1205982741
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Entity Type | Organization
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Legal Business Name | WOODMONT PHARMACY CORP
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 6331 N ANDREWS AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2143
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Country | US
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Telephone | 754-206-4250
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Fax | 754-206-4254
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Provider Business Mailing Address
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Address Line | 6331 N ANDREWS AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2143
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Country | US
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Telephone | 754-206-4250
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Fax | 754-206-4254
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Authorized Official
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Title or Position | PRESIDENT-PHARMACY MANAGER
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Name | BARBARA M CHANNER
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Credential | RPH
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Telephone | 754-206-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS31529
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License Number State | FL
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