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General NPI Number Information
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NPI Number | 1568839629
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Entity Type | Organization
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Legal Business Name | XPRESSO PHARMACY INC.
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 6305 B MIRAMAR PARKWAY
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City | MIRAMAR
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State | FL
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Zip | 33023
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Country | US
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Telephone | 954-534-9779
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Fax | 954-251-1767
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Provider Business Mailing Address
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Address Line | 150 E BOCA RATON ROAD
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-235-3506
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Fax | 561-277-0700
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Authorized Official
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Title or Position | MANAGER
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Name | SALVATORE LANTIERI
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Credential |
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Telephone | 954-592-5482
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH29295
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License Number State | FL
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