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General NPI Number Information
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NPI Number | 1992263990
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Entity Type | Organization
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Legal Business Name | COREHEALTH PHARMACY INC
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 11260 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4101
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Country | US
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Telephone | 954-450-8873
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Fax |
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Provider Business Mailing Address
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Address Line | 11260 PINES BLVD STE B
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4101
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Country | US
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Telephone | 954-450-8873
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Fax | 954-450-8874
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Authorized Official
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Title or Position | OWNER, MANAGER
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Name | CHIZOBA EZENWA
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Credential |
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Telephone | 954-864-1682
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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 |
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License Number State |
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