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General NPI Number Information
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NPI Number | 1295662799
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Entity Type | Organization
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Legal Business Name | MILLENNIARX GULF
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 5462 ABLE CT
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City | MOBILE
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State | AL
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Zip | 36693-3100
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Country | US
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Telephone | 205-618-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 5462 ABLE CT
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City | MOBILE
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State | AL
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Zip | 36693-3100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BINYAMIN GREENBERG
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Credential |
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Telephone | 205-618-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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