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General NPI Number Information
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NPI Number | 1699333518
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Entity Type | Organization
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Legal Business Name | ZENCARE PHARMACY, LLC
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 12140 MIRAMAR PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-7013
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Country | US
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Telephone | 954-439-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 12140 MIRAMAR PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-7013
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Country | US
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Telephone | 954-367-3579
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Fax | 954-367-3259
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Authorized Official
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Title or Position | OWNER/PDM
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Name | HUONG VAN
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Credential | PHARM.D.
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Telephone | 954-367-3579
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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 |
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License Number State |
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