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General NPI Number Information
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NPI Number | 1598762015
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Entity Type | Organization
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Legal Business Name | COMMCARE PHARMACY-FTL LLC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 855 SW 78TH AVE STE C100
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City | PLANTATION
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State | FL
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Zip | 33324-3223
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Country | US
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Telephone | 954-568-6212
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Fax | 954-568-2765
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Provider Business Mailing Address
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Address Line | 855 SW 78TH AVE STE C100
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-568-6212
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Fax | 954-568-2765
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Authorized Official
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Title or Position | C.O.O.
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Name | MR. ROBERT GEORGE RAFFALO JR.
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Credential |
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Telephone | 954-284-2384
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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 | NRX0000870
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054.016610
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | A9-0001012
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 3817
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH21660
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 64000929A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHNR000479
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 897
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License Number State | CT
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Taxonomy #9
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 22-44984
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License Number State | KS
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Taxonomy #10
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PMP591
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License Number State | HI
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Taxonomy #11
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5788
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License Number State | CO
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Taxonomy #12
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | Y005081
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License Number State | AZ
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Taxonomy #13
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | NRP1817
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License Number State | CA
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Taxonomy #14
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2293MS
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License Number State | ID
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Taxonomy #15
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 106493
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License Number State | AK
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