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General NPI Number Information
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NPI Number | 1417171109
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Entity Type | Organization
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Legal Business Name | NIKAELA T PHARMACY DICOUNT INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 2200 SW 16TH ST STE 116
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City | MIAMI
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State | FL
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Zip | 33145-2021
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Country | US
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Telephone | 305-860-2840
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Fax | 305-860-2841
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Provider Business Mailing Address
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Address Line | 2200 SW 16TH ST STE 116
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City | MIAMI
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State | FL
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Zip | 33145-2021
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Country | US
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Telephone | 305-860-2840
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Fax | 305-860-2841
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARAHI COMPANIONI
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Credential |
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Telephone | 305-860-2840
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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 | PH22589
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License Number State | FL
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