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General NPI Number Information
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NPI Number | 1700869880
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Entity Type | Organization
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Legal Business Name | MAZAL TOV PHARMACY INC
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 5582 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1066
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Country | US
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Telephone | 305-269-1672
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Fax | 305-269-9799
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Provider Business Mailing Address
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Address Line | 5582 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1066
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Country | US
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Telephone | 305-269-1672
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Fax | 305-269-9799
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Authorized Official
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Title or Position | OWNER
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Name | JEXY PEREZ
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Credential |
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Telephone | 305-269-1672
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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 | PH18222
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License Number State | FL
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