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General NPI Number Information
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NPI Number | 1427440700
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Entity Type | Organization
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Legal Business Name | REGIONS PHARMACY, CORP
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 1065 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-4614
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Country | US
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Telephone | 305-603-9924
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Fax | 786-391-3964
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Provider Business Mailing Address
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Address Line | 1065 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33135-4614
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Country | US
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Telephone | 305-603-9924
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Fax | 786-391-3964
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TERESA YAQUELIN SARABIA
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Credential |
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Telephone | 305-603-9924
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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 | PH28894
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License Number State | FL
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