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General NPI Number Information
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NPI Number | 1316074750
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Entity Type | Organization
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Legal Business Name | DEYSI PHARMACY INC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7176 SW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33155-4655
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Country | US
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Telephone | 305-668-9354
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Fax | 305-668-9354
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Provider Business Mailing Address
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Address Line | 7176 SW 47TH ST
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City | MIAMI
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State | FL
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Zip | 33155-4655
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Country | US
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Telephone | 305-668-9354
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Fax | 305-668-9354
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEISY HERNANDE
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Credential |
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Telephone | 305-668-9354
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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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