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General NPI Number Information
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NPI Number | 1770135162
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Entity Type | Organization
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Legal Business Name | SUPERIOR DRUGS, INC
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 3947 DAVIE BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-3405
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Country | US
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Telephone | 954-909-4354
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Fax | 954-909-4357
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Provider Business Mailing Address
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Address Line | 3947 DAVIE BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-3405
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Country | US
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Telephone | 954-909-4354
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Fax | 954-909-4357
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. YASEL ALVAREZ SANCHEZ
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Credential |
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Telephone | 954-909-4354
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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 |
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License Number State |
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