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General NPI Number Information
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NPI Number | 1780762906
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Entity Type | Organization
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Legal Business Name | DELRAY DRUGS INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 900 E ATLANTIC AVE SUITE 15
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City | DELRAY BEACH
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State | FL
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Zip | 33483
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Country | US
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Telephone | 561-276-7416
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Fax | 561-276-1028
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Provider Business Mailing Address
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Address Line | 900 E ATLANTIC AVE SUITE 15
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City | DELRAY BEACH
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State | FL
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Zip | 33483
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Country | US
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Telephone | 561-276-7416
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Fax | 561-276-1028
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Authorized Official
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Title or Position | PRESIDENT TREAS
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Name | RICHARD GEORGE WINKLER
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Credential | RPH PRES
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Telephone | 561-276-7410
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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 | PH2616
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License Number State | FL
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