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General NPI Number Information
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NPI Number | 1356719074
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Entity Type | Organization
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Legal Business Name | ALL HEART PHARMACY INC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 911 SE 6TH AVE STE 105
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5190
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Country | US
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Telephone | 561-654-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 911 SE 6TH AVE STE 105
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5190
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Country | US
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Telephone | 561-654-4760
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MISS RASHA SHENODA
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Credential | RPH
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Telephone | 561-654-4760
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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 | FL
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