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General NPI Number Information
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NPI Number | 1669871018
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Entity Type | Organization
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Legal Business Name | BRIGHT PHARMACY & DISCOUNT INC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 7945 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33126-8000
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Country | US
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Telephone | 305-265-6122
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Fax | 305-265-6123
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Provider Business Mailing Address
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Address Line | 7945 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33126-8000
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Country | US
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Telephone | 305-265-6122
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Fax | 305-265-6123
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MISS TRUDY L ROUSE I
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Credential | PHARMACIST
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Telephone | 305-265-6122
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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 | PH28427
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License Number State | FL
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