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General NPI Number Information
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NPI Number | 1306753454
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Entity Type | Organization
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Legal Business Name | CRYSTAL CLEAR PHARMACY INC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 3101 W HALLANDALE BEACH BLVD
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City | HALLANDALE
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State | FL
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Zip | 33009-5160
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Country | US
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Telephone | 305-663-6043
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Fax | 305-230-2606
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Provider Business Mailing Address
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Address Line | 3101 W HALLANDALE BEACH BLVD
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City | HALLANDALE
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State | FL
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Zip | 33009-5160
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Country | US
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Telephone | 305-663-6043
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Fax | 305-230-2606
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CHRISTINA MARIE DAWKIN
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Credential |
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Telephone | 305-663-6043
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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 |
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License Number State |
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