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General NPI Number Information
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NPI Number | 1396982955
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Entity Type | Organization
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Legal Business Name | UNITED PHARMACY & DISCOUNT INC
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 12887 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3435
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Country | US
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Telephone | 305-221-8699
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Fax | 305-221-1038
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Provider Business Mailing Address
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Address Line | 22177 S DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33170-2840
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Country | US
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Telephone | 786-349-4576
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Fax | 786-349-4578
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Authorized Official
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Title or Position | OWNER
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Name | ISMAEL BRUNET
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Credential |
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Telephone | 786-349-4576
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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 | PH23642
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License Number State | FL
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