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General NPI Number Information
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NPI Number | 1831538636
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Entity Type | Organization
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Legal Business Name | PILL BOX PINES WEST LLC
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 17503 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1519
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Country | US
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Telephone | 954-443-7455
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Fax | 954-374-6263
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Provider Business Mailing Address
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Address Line | 17503 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1519
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Country | US
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Telephone | 954-443-7455
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Fax | 954-374-6263
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Authorized Official
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Title or Position | PHARMACY MANAGER/MEMBER
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Name | BARBARA SAMMARCO
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Credential |
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Telephone | 954-443-7455
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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 |
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License Number State |
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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 | PH26925
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License Number State | FL
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