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General NPI Number Information
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NPI Number | 1770804106
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Entity Type | Organization
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Legal Business Name | MEDPOINTPHARMACY, INCORPORATED
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 23020 SANDALFOOT PLAZA DR
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City | BOCA RATON
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State | FL
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Zip | 33428-6654
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Country | US
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Telephone | 561-451-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 23020 SANDALFOOT PLAZA DR
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City | BOCA RATON
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State | FL
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Zip | 33428-6654
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Country | US
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Telephone | 561-451-2111
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DMITRY BUKRITSKY
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Credential |
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Telephone | 954-937-9930
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24655
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License Number State | FL
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