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General NPI Number Information
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NPI Number | 1770931677
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Entity Type | Organization
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Legal Business Name | PHARMAMEDRX LLC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 17006 SEVEN PINES DR STE 500 SUITE 500
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City | SPRING
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State | TX
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Zip | 77379-5562
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Country | US
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Telephone | 866-855-6468
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 US HIGHWAY 1 STE 1
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3550
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Country | US
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Telephone | 866-855-6468
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY OPERATIONS
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Name | JENNIFER MOONEY THOMPSON
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Credential |
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Telephone | 866-855-6468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order 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 | 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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