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General NPI Number Information
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NPI Number | 1427489939
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Entity Type | Organization
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Legal Business Name | REMED PHARMACY
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 10163 S US HIGHWAY 1
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5610
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Country | US
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Telephone | 772-333-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 3265 TRAFALGER CIR
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City | BOCA RATON
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State | FL
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Zip | 33434-5333
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Country | US
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Telephone | 561-221-8397
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANNA RUBIO
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Credential |
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Telephone | 954-951-5019
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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 | PH27251
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License Number State | FL
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