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General NPI Number Information
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NPI Number | 1790075612
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Entity Type | Organization
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Legal Business Name | RX INTERNATIONAL PHARMACY LLC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 8380 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3337
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Country | US
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Telephone | 305-221-1421
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Fax | 305-221-3275
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Provider Business Mailing Address
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Address Line | 8380 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3355
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Country | US
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Telephone | 305-221-1421
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Fax | 305-221-3275
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JAVIER DOMINGUEZ
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Credential |
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Telephone | 305-221-1421
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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 | PH25352
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License Number State | FL
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