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General NPI Number Information
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NPI Number | 1033248810
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Entity Type | Organization
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Legal Business Name | MASSEY DRUGS INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 105 W JEFFERSON ST
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City | QUINCY
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State | FL
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Zip | 32351-2321
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Country | US
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Telephone | 850-627-7584
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Fax | 850-875-4650
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Provider Business Mailing Address
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Address Line | PO BOX 625
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City | QUINCY
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State | FL
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Zip | 32353-0625
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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 | PRESIDENT
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Name | TERRANCE MASSEY
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Credential |
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Telephone | 850-627-7584
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH10412
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License Number State | FL
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