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General NPI Number Information
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NPI Number | 1801840079
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Entity Type | Organization
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Legal Business Name | ATLANTIC PHARMACY SERVICES INC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 4908 SW 72ND AVE SUITE C
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City | MIAMI
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State | FL
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Zip | 33155-5548
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Country | US
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Telephone | 305-666-8711
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Fax | 305-666-9117
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Provider Business Mailing Address
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Address Line | 4908 SW 72ND AVE SUITE C
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City | MIAMI
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State | FL
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Zip | 33155-5548
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Country | US
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Telephone | 305-666-8711
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Fax | 305-666-9117
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EMERSON CARMONA
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Credential |
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Telephone | 305-666-8711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH 23154
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH19714
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License Number State | FL
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