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General NPI Number Information
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NPI Number | 1255358990
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Entity Type | Organization
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Legal Business Name | EL JARDIN PHARMACY
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 8361 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6607
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Country | US
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Telephone | 954-248-6135
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Fax | 954-589-2635
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Provider Business Mailing Address
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Address Line | 8361 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6607
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Country | US
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Telephone | 954-248-6135
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Fax | 954-589-2635
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Authorized Official
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Title or Position | OWNER
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Name | TOSIN JULIUS
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Credential |
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Telephone | 813-410-0029
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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 | PH19575
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License Number State | FL
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