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General NPI Number Information
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NPI Number | 1467959783
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Entity Type | Organization
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Legal Business Name | NMB PHARMACY INC
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 1203 NE 163RD ST SUITE 103
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4634
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Country | US
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Telephone | 305-768-9888
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Fax | 631-382-8235
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Provider Business Mailing Address
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Address Line | 1203 NE 163RD ST SUITE 103
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-4634
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Country | US
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Telephone | 305-768-9888
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Fax | 305-768-9828
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Authorized Official
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Title or Position | CEO
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Name | PAUL JAMES GREENALL
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Credential |
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Telephone | 415-860-2534
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH31337
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License Number State | FL
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