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General NPI Number Information
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NPI Number | 1962435156
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Entity Type | Organization
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Legal Business Name | CENTER CITY PHARMACY, INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 416 CLEMATIS ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33401
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Country | US
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Telephone | 561-805-7135
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Fax | 561-805-7138
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Provider Business Mailing Address
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Address Line | 416 CLEMATIS ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33401
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Country | US
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Telephone | 561-805-7135
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Fax | 561-805-7138
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Authorized Official
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Title or Position | OWNER/RPH
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Name | MR. THOMAS REBHADL
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Credential | RPH
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Telephone | 561-805-7135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH 21446
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH21446
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License Number State | FL
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