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General NPI Number Information
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NPI Number | 1023330909
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Entity Type | Organization
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Legal Business Name | HOPKINS PHARMACY INC
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 4401 S HOPKINS AVE #102
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City | TITUSVILLE
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State | FL
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Zip | 32780-6679
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Country | US
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Telephone | 321-607-6802
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Fax | 321-607-6804
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Provider Business Mailing Address
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Address Line | 4401 S HOPKINS AVE #102
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City | TITUSVILLE
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State | FL
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Zip | 32780-6679
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Country | US
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Telephone | 321-607-6802
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Fax | 321-607-6804
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Authorized Official
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Title or Position | MANAGER
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Name | NITIN AGGARWAL
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Credential |
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Telephone | 321-607-6802
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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 | PH24333
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License Number State | FL
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