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General NPI Number Information
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NPI Number | 1962594515
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Entity Type | Organization
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Legal Business Name | ROSY'S PHARMACY
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 2050 W 56TH ST STE 8
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City | HIALEAH
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State | FL
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Zip | 33016-2683
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Country | US
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Telephone | 305-362-1515
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Fax | 305-362-0797
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Provider Business Mailing Address
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Address Line | 2050 W 56TH ST STE 8
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City | HIALEAH
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State | FL
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Zip | 33016-2683
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Country | US
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Telephone | 305-362-1515
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Fax | 305-362-0797
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Authorized Official
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Title or Position | VP
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Name | MR. JORGE L CORREA
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Credential | VP
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Telephone | 305-362-1515
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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 | PS15912
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License Number State | FL
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