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General NPI Number Information
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NPI Number | 1821278342
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Entity Type | Organization
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Legal Business Name | FAMILY DRUGSTORE, INC.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 4060 N DIXIE HWY
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City | BOCA RATON
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State | FL
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Zip | 33431-4540
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Country | US
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Telephone | 866-321-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 N DIXIE HWY
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City | BOCA RATON
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State | FL
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Zip | 33431-4540
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Country | US
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Telephone | 866-321-5010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN REINBERGS
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Credential |
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Telephone | 866-660-3177
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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 | PH22986
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License Number State | FL
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