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General NPI Number Information
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NPI Number | 1578842738
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Entity Type | Organization
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Legal Business Name | MEDS RX
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 750 E SAMPLE RD BLDG 3
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5144
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Country | US
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Telephone | 954-416-0058
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Fax | 954-692-0395
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Provider Business Mailing Address
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Address Line | 750 E SAMPLE RD BLDG 3
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5144
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Country | US
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Telephone | 954-416-0058
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Fax | 954-692-0395
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Authorized Official
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Title or Position | OWNER
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Name | FLEURETTE JEAN-MARY
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Credential |
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Telephone | 954-416-0058
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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 | PH25604
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License Number State | FL
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