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General NPI Number Information
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NPI Number | 1881881530
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Entity Type | Organization
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Legal Business Name | ANTILLEAN RX CENTERS LLC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3520 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-6114
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Country | US
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Telephone | 407-246-4488
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Fax | 407-246-0088
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Provider Business Mailing Address
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Address Line | 3520 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-6114
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Country | US
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Telephone | 407-246-4488
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Fax | 407-246-0088
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | JOHANNE LIONEL-ALEANDRE
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Credential | RPH
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Telephone | 407-246-5588
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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 |
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License Number State |
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