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General NPI Number Information
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NPI Number | 1669566287
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Entity Type | Organization
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Legal Business Name | FARMACIA 22-24 HIALEAH INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 2961 WEST 12 AV
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-888-2224
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Fax | 305-885-9918
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Provider Business Mailing Address
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Address Line | 2961 WEST 12 AV
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-888-2224
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Fax | 305-885-9918
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | FRANCISCO A ORTEGA
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Credential | RPH
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Telephone | 305-888-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH0013957
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License Number State | FL
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