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General NPI Number Information
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NPI Number | 1336445659
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Entity Type | Organization
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Legal Business Name | CVH PHARMACY DISCOUNT INC
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 4811 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2955
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Country | US
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Telephone | 305-974-5098
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Fax | 305-974-5625
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Provider Business Mailing Address
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Address Line | 4811 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2955
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Country | US
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Telephone | 305-974-5098
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Fax | 305-974-5625
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Authorized Official
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Title or Position | OWNER
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Name | VELIA SALDADO
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Credential |
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Telephone | 786-704-3757
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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 | PH25229
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License Number State | FL
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