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General NPI Number Information
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NPI Number | 1962833038
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Entity Type | Organization
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Legal Business Name | D & Y PHARMACY CORP
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 3715 W 16TH AVE BAY 15
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City | HIALEAH
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State | FL
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Zip | 33012-7071
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Country | US
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Telephone | 786-431-5905
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Fax | 786-431-5908
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Provider Business Mailing Address
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Address Line | 3715 W 16TH AVE BAY 15
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City | HIALEAH
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State | FL
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Zip | 33012-7071
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Country | US
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Telephone | 786-431-5905
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Fax | 786-431-5908
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZUGELIS CASTILLO
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Credential |
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Telephone | 786-431-5905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH25752
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License Number State | FL
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