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General NPI Number Information
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NPI Number | 1962806729
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Entity Type | Organization
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Legal Business Name | MERSY PHARMACY CORP
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 2900 W 12TH AVE SUITE #25
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City | HIALEAH
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State | FL
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Zip | 33012-4860
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Country | US
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Telephone | 786-360-4059
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Fax | 786-953-8545
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Provider Business Mailing Address
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Address Line | 2900 W 12TH AVE SUITE #25
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City | HIALEAH
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State | FL
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Zip | 33012-4860
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Country | US
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Telephone | 786-360-4059
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Fax | 786-953-8545
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Authorized Official
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Title or Position | OWNER/PHARMACY TECHNICIAN
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Name | MS. YUSLEIVY REYES RAMON
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Credential |
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Telephone | 786-360-4059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH28648
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License Number State | FL
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