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General NPI Number Information
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NPI Number | 1568546901
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Entity Type | Organization
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Legal Business Name | GREY DOG INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR SUITE 102
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City | MIAMI
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State | FL
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Zip | 33176-2144
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Country | US
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Telephone | 305-273-8221
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Fax | 305-273-0241
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Provider Business Mailing Address
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Address Line | 8950 N KENDALL DR SUITE 102
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-273-8221
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Fax | 305-273-0241
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Authorized Official
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Title or Position | RPH/PRESIDENT
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Name | GERALD GEIST
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Credential | PHARMB, RPH
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Telephone | 305-273-8221
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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 | 3336S0011X
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Taxonomy Name | Specialty 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 | PH13835
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License Number State | FL
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