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General NPI Number Information
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NPI Number | 1790273944
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Entity Type | Organization
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Legal Business Name | HARBOUR BAY PHARMACY LLC
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 3754 SE OCEAN BLVD STE B
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City | STUART
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State | FL
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Zip | 34996
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Country | US
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Telephone | 844-407-3681
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Fax | 561-529-3117
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Provider Business Mailing Address
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Address Line | 3754 SE OCEAN BLVD STE B
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City | STUART
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State | FL
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Zip | 34996-6700
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Country | US
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Telephone | 844-407-3681
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Fax | 561-529-3117
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LINDA YUN YUN
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Credential |
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Telephone | 917-757-3793
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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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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