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General NPI Number Information
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NPI Number | 1790463560
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Entity Type | Organization
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Legal Business Name | NEW HEALTH PHARMACY LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1776 N PINE ISLAND RD STE 218
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City | PLANTATION
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State | FL
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Zip | 33322-5223
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Country | US
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Telephone | 954-836-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 N PINE ISLAND RD STE 218
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City | PLANTATION
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State | FL
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Zip | 33322-5223
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Country | US
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Telephone | 954-836-8336
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Fax |
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | ISKIYE MATAYEV
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Credential |
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Telephone | 929-427-7184
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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 |
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License Number State |
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