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General NPI Number Information
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NPI Number | 1598854143
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Entity Type | Organization
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Legal Business Name | BOCA PHARMACY INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 5458 TOWN CENTER RD STE 7
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City | BOCA RATON
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State | FL
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Zip | 33486-1089
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Country | US
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Telephone | 561-393-6778
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Fax | 561-393-7650
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Provider Business Mailing Address
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Address Line | 5458 TOWN CENTER RD STE 7
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City | BOCA RATON
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State | FL
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Zip | 33486-1089
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Country | US
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Telephone | 561-393-6778
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Fax | 561-393-7650
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Authorized Official
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Title or Position | OWNER
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Name | WILFRED LUMB
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Credential | RPH
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Telephone | 561-368-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH11442
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License Number State | FL
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