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General NPI Number Information
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NPI Number | 1003169699
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Entity Type | Organization
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Legal Business Name | S & B HEALTH SYSTEMS LLC
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 2711 CLEARLAKE RD # C-10
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City | COCOA
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State | FL
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Zip | 32922-5721
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Country | US
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Telephone | 321-305-6909
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Fax | 321-305-6919
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Provider Business Mailing Address
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Address Line | 2711 CLEARLAKE RD # C-10
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City | COCOA
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State | FL
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Zip | 32922-5721
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Country | US
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Telephone | 321-305-6909
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Fax | 321-305-6919
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DAWN BUTTERFIELD
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Credential |
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Telephone | 321-305-6909
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH26390
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License Number State | FL
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