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General NPI Number Information
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NPI Number | 1295128080
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Entity Type | Organization
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Legal Business Name | NARANJA DISCOUNT PHARMACY, LLC
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 27140 S DIXIE HWY
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City | NARANJA
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State | FL
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Zip | 33032-7317
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Country | US
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Telephone | 305-245-2277
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Fax | 305-254-2666
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Provider Business Mailing Address
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Address Line | 27140 S DIXIE HWY
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City | NARANJA
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State | FL
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Zip | 33032-7317
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Country | US
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Telephone | 305-245-2277
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Fax | 305-254-2666
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Authorized Official
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Title or Position | OWNER/PIC
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Name | GIDEON NJOKU
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Credential |
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Telephone | 305-245-2277
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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 | PH28403
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License Number State | FL
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