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General NPI Number Information
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NPI Number | 1003418948
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Entity Type | Organization
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Legal Business Name | CAREMAX PHARMACY LLC
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2789 PARK ST STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32205-7607
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Country | US
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Telephone | 904-551-9026
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Fax | 904-758-3519
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Provider Business Mailing Address
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Address Line | PO BOX 600489
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City | JACKSONVILLE
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State | FL
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Zip | 32260-0489
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Country | US
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Telephone | 904-551-9026
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Fax | 904-758-3519
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Authorized Official
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Title or Position | MBR/MGR
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Name | VIPUL MAMTORA
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Credential |
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Telephone | 904-551-9026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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