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General NPI Number Information
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NPI Number | 1518235100
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Entity Type | Organization
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Legal Business Name | CMA PHARMACY & SUPPLIES CORP
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 5549 SW 8 STREET
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-364-5807
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Fax | 306-603-8908
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Provider Business Mailing Address
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Address Line | 5549 SW 8 STREET
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-364-5807
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Fax | 306-603-8908
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ODALYS AGUILERA
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Credential |
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Telephone | 305-364-5807
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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 | PH25784
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License Number State | FL
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