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General NPI Number Information
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NPI Number | 1992869705
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Entity Type | Organization
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Legal Business Name | UNITED MED PHARMACY
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 960 NE 62ND ST
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4110
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Country | US
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Telephone | 954-318-7575
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Fax | 954-318-7576
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Provider Business Mailing Address
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Address Line | 960 NE 62ND ST
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4110
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Country | US
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Telephone | 954-318-7575
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Fax | 954-318-7576
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILFRID MONDE
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Credential |
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Telephone | 954-318-7575
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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 | PH22371
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License Number State | FL
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