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General NPI Number Information
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NPI Number | 1982028551
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Entity Type | Organization
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Legal Business Name | GOLDEN HILLS PHARMACY LLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 2053 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33322-3936
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Country | US
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Telephone | 352-351-3784
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Fax | 352-351-1060
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Provider Business Mailing Address
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Address Line | 2053 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33322-3936
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Country | US
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Telephone | 954-399-2250
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Fax | 352-351-1060
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT HOPTA
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Credential |
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Telephone | 954-399-2250
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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 | 43699
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License Number State | FL
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Taxonomy #2
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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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