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General NPI Number Information
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NPI Number | 1518324078
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Entity Type | Organization
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Legal Business Name | JENNYS YOUR FRIENDLY PHARMACY
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 2217 NW 7TH ST # CU-2
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City | MIAMI
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State | FL
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Zip | 33125-3330
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Country | US
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Telephone | 786-533-8269
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Fax | 844-287-8887
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Provider Business Mailing Address
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Address Line | 2217 NW 7TH ST # CU-2
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City | MIAMI
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State | FL
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Zip | 33125-3330
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Country | US
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Telephone | 786-533-8269
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Fax | 844-287-8887
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Authorized Official
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Title or Position | PRESIDENT,AO
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Name | JENNIFER LLANES
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Credential | PHARMD
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Telephone | 786-252-8423
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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 | PH29792
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License Number State | FL
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