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General NPI Number Information
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NPI Number | 1235228651
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Entity Type | Organization
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Legal Business Name | MORON DRUG & DISCOUNT
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 6267 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-4845
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Country | US
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Telephone | 305-262-0225
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Fax | 305-262-0228
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Provider Business Mailing Address
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Address Line | 6267 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-4845
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Country | US
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Telephone | 305-262-0225
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Fax | 305-262-0228
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Authorized Official
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Title or Position | OWNER
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Name | CESAR PEREZ
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Credential |
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Telephone | 305-262-0225
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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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