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General NPI Number Information
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NPI Number | 1922422153
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Entity Type | Organization
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Legal Business Name | MEDICAL PRIORITY PHARMACY, LLC.
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 5350 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2746
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Country | US
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Telephone | 305-823-0915
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Fax | 305-823-4055
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Provider Business Mailing Address
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Address Line | 5350 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2746
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Country | US
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Telephone | 305-823-0915
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Fax | 305-823-4055
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. LAZARO PEREDA
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Credential |
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Telephone | 305-823-0915
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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 | PH29111
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License Number State | FL
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