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General NPI Number Information
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NPI Number | 1306088497
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Entity Type | Organization
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Legal Business Name | LE SELECT PHARMACY & MES INC.
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 128 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-5114
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Country | US
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Telephone | 305-642-5241
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Fax | 305-643-0335
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Provider Business Mailing Address
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Address Line | 128 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-5114
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Country | US
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Telephone | 305-642-5241
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Fax | 305-643-0335
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MILAGROS PEREZ
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Credential |
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Telephone | 786-286-8068
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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 | 23982
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License Number State | FL
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