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General NPI Number Information
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NPI Number | 1336475847
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Entity Type | Organization
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Legal Business Name | SPECIALTY PHARMACY & DISCOUNT CORP
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 4501 PALM AVE STE 101
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City | HIALEAH
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State | FL
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Zip | 33012-4075
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Country | US
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Telephone | 305-698-0300
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Fax | 305-698-0302
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Provider Business Mailing Address
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Address Line | 4501 PALM AVE SUITE#101
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City | HIALEAH
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State | FL
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Zip | 33012-4010
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Country | US
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Telephone | 305-698-0300
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Fax | 305-698-0302
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Authorized Official
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Title or Position | OWNER
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Name | ESTHER ALVAREZ
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Credential |
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Telephone | 305-698-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH24297
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License Number State | FL
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