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General NPI Number Information
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NPI Number | 1518331917
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Entity Type | Organization
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Legal Business Name | HSUS PHARMACY
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 5800 N FEDERAL HWY STE 2
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City | BOCA RATON
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State | FL
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Zip | 33487-4008
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Country | US
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Telephone | 888-970-4787
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Fax | 954-337-3225
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Provider Business Mailing Address
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Address Line | 5800 N FEDERAL HWY SUITE 2
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City | BOCA RATON
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State | FL
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Zip | 33487-4024
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Country | US
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Telephone | 888-970-4787
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Fax | 954-337-3225
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Authorized Official
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Title or Position | CEO
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Name | ANDY DELILLO
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Credential |
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Telephone | 888-970-4787
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH 29542
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License Number State | FL
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