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General NPI Number Information
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NPI Number | 1902480379
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Entity Type | Organization
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Legal Business Name | BETTER LIFE COMMUNITY PHARMACY LLC
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 13255 SW 137TH AVE # 110-111
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City | MIAMI
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State | FL
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Zip | 33186-5326
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Country | US
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Telephone | 786-250-4027
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Fax | 786-250-4223
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Provider Business Mailing Address
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Address Line | 13255 SW 137TH AVE # 110-111
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City | MIAMI
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State | FL
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Zip | 33186-5326
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Country | US
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Telephone | 786-250-4027
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Fax | 786-250-4223
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MACK ABEGAZ TEFERA
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Credential |
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Telephone | 786-452-2646
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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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