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General NPI Number Information
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NPI Number | 1629865472
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Entity Type | Individual
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Provider Name | STACY BUCHANAN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 12295 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2713
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Country | US
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Telephone | 305-893-6860
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 VIA ABRUZZI
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City | LAKE WORTH
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State | FL
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Zip | 33467-6940
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Country | US
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Telephone | 561-975-5975
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS41591
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License Number State | FL
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