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General NPI Number Information
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NPI Number | 1376846436
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Entity Type | Organization
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Legal Business Name | BEDB PHARMACIES LLC
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 2629 W OAKLAND PARK BLVD
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1355
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Country | US
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Telephone | 954-485-1099
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Fax | 954-832-9143
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Provider Business Mailing Address
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Address Line | 2629 WEST OAKLAND PARK BLVD
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City | OAKLAND PARK
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State | FL
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Zip | 33311
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Country | US
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Telephone | 954-485-1099
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Fax | 954-832-9143
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Authorized Official
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Title or Position | RX MGR
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Name | STU WHITEMAN
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Credential |
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Telephone | 954-485-1099
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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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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH25072
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License Number State | FL
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