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General NPI Number Information
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NPI Number | 1922032259
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Entity Type | Organization
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Legal Business Name | ALLAPATAH DRUGS STORE
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1222 NW 29TH ST
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City | MIAMI
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State | FL
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Zip | 33142-6618
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Country | US
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Telephone | 305-638-3630
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Fax | 305-638-3631
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Provider Business Mailing Address
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Address Line | 1222 NW 29TH ST
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City | MIAMI
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State | FL
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Zip | 33142-6618
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Country | US
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Telephone | 305-638-3630
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Fax | 305-638-3631
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERTO MENDEZ
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Credential |
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Telephone | 305-638-3630
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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 | PH20834
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License Number State | FL
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