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General NPI Number Information
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NPI Number | 1831592492
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Entity Type | Organization
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Legal Business Name | ASC PHARMACY, INC.
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3416 W 84TH ST SUITE 108A
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City | HIALEAH
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State | FL
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Zip | 33018-4933
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Country | US
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Telephone | 305-698-5411
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Fax | 800-754-6602
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Provider Business Mailing Address
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Address Line | 3416 W 84TH ST SUITE 108A
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City | HIALEAH
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State | FL
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Zip | 33018-4933
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Country | US
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Telephone | 305-698-5411
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Fax | 800-754-6602
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ASCANIO SERNA
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Credential |
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Telephone | 305-698-5411
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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 | PH28580
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License Number State | FL
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