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General NPI Number Information
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NPI Number | 1720634801
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Entity Type | Organization
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Legal Business Name | BEST ORGANIC PHARMACY
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 409 W HALLANDALE BEACH BLVD STE 417
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5301
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Country | US
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Telephone | 954-947-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 409 W HALLANDALE BEACH BLVD STE 417
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5301
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Country | US
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Telephone | 954-947-5009
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | YANA GANDELMAN
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Credential |
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Telephone | 646-641-9570
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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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