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NPI 1831625136

NPI 1831625136 : OCEAN CHEMIST LLC : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1831625136
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCEAN CHEMIST LLC 
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Dates
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    Enumeration Date     |    05/04/2017
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    Last Update Date     |    07/11/2024
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Provider Practice Location Address
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    Address Line         |    3535 GALT OCEAN DR STE 1N 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-6833
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    Country              |    US
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    Telephone            |    954-329-2690
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    Fax                  |    954-329-2691
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Provider Business Mailing Address
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    Address Line         |    3535 GALT OCEAN DR SUITE 1N
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-6833
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    Country              |    US
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    Telephone            |    954-329-2690
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    Fax                  |    954-329-2691
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Authorized Official
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    Title or Position    |    PRESIDENT, OWNER, PIC
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    Name                 |     ANTHONY  GAROFALI 
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    Credential           |    PHARMD
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    Telephone            |    954-329-2690
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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       |    PH30748
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    License Number State |    FL
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