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General NPI Number Information
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NPI Number | 1649549312
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Entity Type | Organization
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Legal Business Name | RUBIO PHARMACY AND DISCOUNT INC
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Dates
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Enumeration Date | 12/23/2011
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 18600 NW 87TH AVE UNIT 109
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City | HIALEAH
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State | FL
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Zip | 33015-3528
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Country | US
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Telephone | 305-405-3333
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Fax | 305-405-3334
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Provider Business Mailing Address
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Address Line | 18600 NW 87TH AVE UNIT 109
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City | HIALEAH
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State | FL
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Zip | 33015-3528
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Country | US
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Telephone | 305-405-3333
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Fax | 305-405-3334
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Authorized Official
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Title or Position | PRESIDENT/PHARMACY MANAGER
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Name | LERYCKA FONTE
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Credential | PHARM. D.
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Telephone | 305-405-3333
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25857
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License Number State | FL
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