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General NPI Number Information
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NPI Number | 1417470816
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Entity Type | Organization
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Legal Business Name | OMRX,LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 4603 OKEECHOBEE BLVD STE 118
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4636
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Country | US
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Telephone | 561-268-2552
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Fax |
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Provider Business Mailing Address
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Address Line | 1423 BARLOW CT
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-1501
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Country | US
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Telephone | 847-471-0335
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER/OWNER
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Name | ROCHELLE HOUDE
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Credential |
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Telephone | 847-471-0335
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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 | PS36093
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License Number State | FL
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