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General NPI Number Information
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NPI Number | 1578590808
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Entity Type | Organization
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Legal Business Name | HOLLYWOOD DISCOUNT PHARMACY
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 1180 N. FEDERAL HGWY UNIT 1104
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City | FT.LAUDERDALE
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State | FL
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Zip | 33304-1469
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Country | US
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Telephone | 954-629-1246
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 N. FEDERAL HGWY UNIT 1104
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City | FT.LAUDERDALE
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State | FL
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Zip | 33304-1469
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Country | US
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Telephone | 954-629-1246
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. CHARLES BRUMER
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Credential |
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Telephone | 954-629-1246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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