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General NPI Number Information
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NPI Number | 1568634079
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Entity Type | Organization
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Legal Business Name | ALF PHARMACY DISCOUNT INC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 390 SW 109TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-1332
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Country | US
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Telephone | 305-554-5424
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Fax | 305-554-5409
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Provider Business Mailing Address
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Address Line | 390 SW 109TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-1332
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PABLO BUDUEN
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Credential |
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Telephone | 305-554-5424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23280
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License Number State | FL
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