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General NPI Number Information
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NPI Number | 1073921896
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Entity Type | Organization
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Legal Business Name | E PHARMACY, INC.
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 2624 ATLANTIC BLVD SUITE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3668
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Country | US
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Telephone | 904-619-8616
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Fax |
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Provider Business Mailing Address
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Address Line | 2624 ATLANTIC BLVD SUITE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3668
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Country | US
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Telephone | 904-619-8616
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN E STAFFORD
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Credential | R.PH.
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Telephone | 904-619-8616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PH 26904
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License Number State | FL
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