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General NPI Number Information
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NPI Number | 1770739799
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Entity Type | Organization
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Legal Business Name | SAMZOY PHARMACY INC
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 1611 NW 77TH WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-5251
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Country | US
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Telephone | 954-967-9452
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Fax | 954-967-9454
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Provider Business Mailing Address
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Address Line | 1611 NW 77TH WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-5251
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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 | PHARMACIST
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Name | YOLANDA ALVAREZ
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Credential |
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Telephone | 786-683-6002
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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 | PH23493
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License Number State | FL
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