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General NPI Number Information
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NPI Number | 1942344403
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Entity Type | Organization
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Legal Business Name | LEE ANN DRUG INC
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 955 WASHINGTON AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5015
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Country | US
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Telephone | 305-531-1256
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Fax | 305-531-0562
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Provider Business Mailing Address
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Address Line | 955 WASHINGTON AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5015
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Country | US
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Telephone | 305-531-1256
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Fax | 305-531-0562
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWARD COHN
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Credential |
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Telephone | 305-531-1256
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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 | PH936
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License Number State | FL
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