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General NPI Number Information
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NPI Number | 1730703653
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Entity Type | Organization
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Legal Business Name | ALPHA TOUGH PHARMACY INC.
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 06/06/2020
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Provider Practice Location Address
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Address Line | 10071 PINES BLVD STE D
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6105
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Country | US
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Telephone | 954-435-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 10071 PINES BLVD STE D
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAN WANG
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Credential |
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Telephone | 718-803-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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