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General NPI Number Information
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NPI Number | 1700114030
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Entity Type | Organization
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Legal Business Name | FARMACIA LAS AMERICAS, LLC
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 1800 FOREST HILL BLVD STE B12
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6070
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Country | US
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Telephone | 561-642-7590
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Fax | 561-642-7593
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Provider Business Mailing Address
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Address Line | 1800 FOREST HILL BLVD STE B12
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6070
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Country | US
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Telephone | 561-642-7590
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Fax | 561-642-7593
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | DR. ANA B JIMENEZ
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Credential | PHARM D
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Telephone | 561-642-7590
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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 | 000000000000000
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License Number State | FL
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