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NPI 1558645630

NPI 1558645630 : D&Y PHARMACY DISCOUNT CORP : HIALEAH, FL

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General NPI Number Information
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    NPI Number           |    1558645630
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    Entity Type          |    Organization 
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    Legal Business Name  |    D&Y PHARMACY DISCOUNT CORP 
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Dates
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    Enumeration Date     |    10/06/2011
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    Last Update Date     |    01/03/2012
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Provider Practice Location Address
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    Address Line         |    3715 W 16TH AVE BAY 15
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33012-7071
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    Country              |    US
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    Telephone            |    786-521-3325
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    Fax                  |    786-521-3325
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Provider Business Mailing Address
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    Address Line         |    3715 W 16TH AVE BAY 15
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33012-7071
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    Country              |    US
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    Telephone            |    786-521-3325
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    Fax                  |    786-521-3325
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ZUGEILYS  CASTILLO 
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    Credential           |    
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    Telephone            |    786-521-3325
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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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