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General NPI Number Information
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NPI Number | 1982060869
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Entity Type | Organization
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Legal Business Name | SUREHEALTH PHARMACY, INC
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 7945 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33126-8000
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Country | US
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Telephone | 786-212-1015
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Fax | 786-212-1731
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Provider Business Mailing Address
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Address Line | 7945 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33126-8000
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Country | US
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Telephone | 786-212-1015
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Fax | 786-212-1731
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE/OWNER
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Name | OLURONKE OLUFIDIPE
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Credential |
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Telephone | 786-212-1015
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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 | 31650
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License Number State | TX
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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 | PH29857
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License Number State | FL
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