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General NPI Number Information
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NPI Number | 1972743573
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Entity Type | Organization
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Legal Business Name | CHOICE PHARMACY 002 INC
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 401 S PARSONS AVE SUITE C
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City | BRANDON
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State | FL
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Zip | 33511-5292
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Country | US
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Telephone | 813-685-4707
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Fax | 813-685-4722
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Provider Business Mailing Address
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Address Line | 401 S PARSONS AVE SUITE C
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City | BRANDON
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State | FL
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Zip | 33511-5292
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Country | US
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Telephone | 813-685-4707
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Fax | 813-685-4722
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMIN FARAMARZIFAR
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Credential |
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Telephone | 813-685-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23903
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License Number State | FL
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