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General NPI Number Information
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NPI Number | 1972740967
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Entity Type | Organization
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Legal Business Name | RISE N SHINE PHARMACY
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 17913 NW 7TH ST SUITE 104, PINES PROFESSIONAL MEDICAL CAMPUS
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2811
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Country | US
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Telephone | 954-447-7784
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Fax | 954-447-7785
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Provider Business Mailing Address
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Address Line | 17913 NW 7TH ST STE 104
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2811
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Country | US
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Telephone | 954-447-7784
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Fax | 954-447-7785
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACHEL E NOVELLI
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Credential |
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Telephone | 954-447-7784
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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 | PH23838
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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