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NPI 1528091212

NPI 1528091212 : G & G PHARMACY INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1528091212
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    Entity Type          |    Organization 
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    Legal Business Name  |    G & G PHARMACY INC 
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Dates
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    Enumeration Date     |    07/08/2006
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    Last Update Date     |    11/16/2007
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Provider Practice Location Address
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    Address Line         |    9724 SW 24 ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33165
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    Country              |    US
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    Telephone            |    305-225-4452
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    Fax                  |    305-225-4453
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Provider Business Mailing Address
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    Address Line         |    9724 SW 24 ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33165
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    Country              |    US
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    Telephone            |    305-225-4452
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    Fax                  |    305-225-4453
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. LIUDMILA  SANCHEZ 
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    Credential           |    
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    Telephone            |    305-562-8137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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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       |    PH19072
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    License Number State |    FL
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