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General NPI Number Information
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NPI Number | 1760591960
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Entity Type | Organization
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Legal Business Name | BOCA PHARMACY SERVICES INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22191 POWERLINE RD SUITE 22C
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City | BOCA RATON
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State | FL
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Zip | 33433-5037
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Country | US
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Telephone | 561-391-6336
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Fax | 561-391-7537
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Provider Business Mailing Address
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Address Line | 22191 POWERLINE RD SUITE 22C
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City | BOCA RATON
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State | FL
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Zip | 33433-5037
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Country | US
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Telephone | 561-391-6336
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Fax | 561-391-7537
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NORBERT H GRABER
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Credential | RPH
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Telephone | 561-391-6336
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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 | PH18149
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License Number State | FL
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