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General NPI Number Information
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NPI Number | 1497054514
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Entity Type | Organization
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Legal Business Name | JAR PHARMACY & DISCOUNT CORP
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 4800 W FLAGLER ST STE 105
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City | CORAL GABLES
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State | FL
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Zip | 33134-1464
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Country | US
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Telephone | 305-603-8396
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Fax | 786-360-5951
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Provider Business Mailing Address
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Address Line | 4800 W FLAGLER ST STE 105
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City | CORAL GABLES
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State | FL
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Zip | 33134-1464
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Country | US
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Telephone | 305-603-8396
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Fax | 786-360-5951
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADELFA BARRIOS
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Credential |
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Telephone | 305-603-8396
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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 | PH25395
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License Number State | FL
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