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General NPI Number Information
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NPI Number | 1912310848
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Entity Type | Organization
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Legal Business Name | ORANGE PHARMACY CORP
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 1417 DEL PRADO BLVD S UNIT 4
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City | CAPE CORAL
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State | FL
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Zip | 33990-3749
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Country | US
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Telephone | 239-800-3132
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Fax | 239-800-3142
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Provider Business Mailing Address
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Address Line | 1417 DEL PRADO BLVD S UNIT 4
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City | CAPE CORAL
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State | FL
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Zip | 33990-3749
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Country | US
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Telephone | 305-545-1145
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Fax | 305-545-1141
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE TORMOS-CASTILLO
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Credential |
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Telephone | 305-545-1145
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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 | FL
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