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General NPI Number Information
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NPI Number | 1811045180
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Entity Type | Organization
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Legal Business Name | PROPHARMACY & DISCOUNT
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 11478 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33157-6575
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Country | US
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Telephone | 305-971-3388
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Fax | 305-971-3308
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Provider Business Mailing Address
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Address Line | 11478 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33157-6575
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Country | US
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Telephone | 305-971-3388
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Fax | 305-971-3306
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Authorized Official
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Title or Position | OWNER
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Name | GILBERTO ALFONSO
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Credential |
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Telephone | 305-244-9433
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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 | PH 21025
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License Number State | FL
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