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General NPI Number Information
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NPI Number | 1568783918
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Entity Type | Organization
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Legal Business Name | PEOPLES CHOICE PHARMACY LLC
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 7142 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-2916
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Country | US
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Telephone | 954-722-6460
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Fax | 954-722-6461
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Provider Business Mailing Address
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Address Line | 7142 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-2916
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Country | US
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Telephone | 954-722-6460
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Fax | 954-722-6461
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Authorized Official
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Title or Position | OWNER
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Name | MISS DAPHNE C YOUNG
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Credential |
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Telephone | 954-722-6460
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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 | PH24693
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License Number State | FL
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