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General NPI Number Information
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NPI Number | 1225020167
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Entity Type | Organization
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Legal Business Name | WESTWOOD DISCOUNT PHARMACY INC.
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 5615 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-1269
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Country | US
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Telephone | 305-279-9559
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Fax | 305-595-6299
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Provider Business Mailing Address
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Address Line | 5615 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-1269
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Country | US
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Telephone | 305-279-9559
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Fax | 305-595-6299
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS MERINO
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Credential | RPH
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Telephone | 305-279-9559
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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 | PH0009596
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License Number State | FL
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