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General NPI Number Information
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NPI Number | 1801899356
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Entity Type | Organization
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Legal Business Name | TOWN DRUG OF HOLLYWOOD, INC
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Dates
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Enumeration Date | 05/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2730 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4808
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Country | US
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Telephone | 954-921-8696
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Fax | 954-921-6559
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Provider Business Mailing Address
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Address Line | 2730 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4808
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Country | US
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Telephone | 954-921-8696
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Fax | 954-921-6559
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES LOPILATO
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Credential |
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Telephone | 954-921-8696
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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 | PH000451
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License Number State | FL
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