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General NPI Number Information
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NPI Number | 1588078406
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Entity Type | Organization
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Legal Business Name | LIFE AND HEALTH PHARMACY, LLC
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 4065 E 8TH AVE
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City | HIALEAH
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State | FL
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Zip | 33013-2856
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Country | US
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Telephone | 305-836-2811
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Fax | 305-836-2812
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Provider Business Mailing Address
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Address Line | 4065 E 8TH AVE
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City | HIALEAH
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State | FL
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Zip | 33013-2856
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Country | US
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Telephone | 305-836-2811
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Fax | 305-836-2812
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAZARO GARCHITORENA
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Credential |
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Telephone | 305-836-2811
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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 | PH28239
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License Number State | FL
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