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General NPI Number Information
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NPI Number | 1003976036
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Entity Type | Organization
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Legal Business Name | BJS WHOLESALE CLUB INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9300 BEN C PRATT SIX MILE CYPRESS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33912
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Country | US
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Telephone | 239-896-1085
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Fax | 239-896-1086
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Provider Business Mailing Address
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Address Line | 9300 BEN C PRATT SIX MILE CYPRESS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33912
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRES OF PHCY OPER
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Name | CHRIS CELLA
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Credential | RPH
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Telephone | 508-651-5621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH22406
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License Number State | FL
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