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General NPI Number Information
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NPI Number | 1346449246
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Entity Type | Organization
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Legal Business Name | AC PHARMACY INC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 3964 CURTISS PKWY BAY 1
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-7108
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Country | US
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Telephone | 305-870-0979
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Fax | 305-870-0978
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Provider Business Mailing Address
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Address Line | 3964-1 CURTISS PARKWAY
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166
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Country | US
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Telephone | 305-870-0979
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Fax | 305-870-0978
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARIEL CORRAL
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Credential |
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Telephone | 305-870-0979
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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 | PH22761
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License Number State | FL
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