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General NPI Number Information
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NPI Number | 1073629713
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Entity Type | Organization
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Legal Business Name | HILLIARD PHARMACY INC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 551770 US HIGHWAY 1
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City | HILLIARD
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State | FL
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Zip | 32046-8820
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Country | US
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Telephone | 904-845-3371
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Fax | 904-845-3669
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | HILLIARD
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State | FL
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Zip | 32046-0250
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Country | US
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Telephone | 904-845-3371
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN THIGPEN
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Credential | RPH
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Telephone | 904-845-3371
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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 | PH427
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License Number State | FL
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