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General NPI Number Information
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NPI Number | 1629158100
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Entity Type | Organization
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Legal Business Name | CYPRESS CENTER PHARMACY, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 2912 OCEAN DR
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City | VERO BEACH
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State | FL
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Zip | 32963-1949
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Country | US
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Telephone | 772-231-6931
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Fax | 772-231-0731
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Provider Business Mailing Address
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Address Line | 2912 OCEAN DR
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City | VERO BEACH
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State | FL
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Zip | 32963-1949
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Country | US
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Telephone | 772-231-6931
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Fax | 772-231-0731
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MARK FRANKENBERGER
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Credential | PHARM. D.
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Telephone | 772-231-6931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS34879
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License Number State | FL
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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 |
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License Number State |
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