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General NPI Number Information
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NPI Number | 1225624588
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH PHARMACY 103 LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 9555 SW 162ND AVE
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City | MIAMI
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State | FL
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Zip | 33196-6408
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Country | US
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Telephone | 786-595-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 6855 S RED RD STE 600
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3518
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Country | US
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Telephone | 786-662-7980
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JACK ZIFFER
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Credential | MD
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Telephone | 786-662-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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