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General NPI Number Information
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NPI Number | 1487962676
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 3230 W BROWARD BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-1113
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Country | US
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Telephone | 855-873-7989
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Fax | 954-794-0657
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Provider Business Mailing Address
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Address Line | 3230 W BROWARD BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-1113
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Country | US
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Telephone | 855-873-7989
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Fax | 954-794-0657
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NERMEEN GIRGIS
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Credential |
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Telephone | 954-354-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24954
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License Number State | FL
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