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General NPI Number Information
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NPI Number | 1093691628
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Entity Type | Organization
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Legal Business Name | FLORIDA DEPARTMENT OF CORRECTIONS
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2980 STATE CORRECTIONAL RD. REGION I PHARMACY
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City | MARIANNA
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State | FL
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Zip | 32448
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Country | US
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Telephone | 850-372-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 501 S. CALHOUN ST. FLORIDA DEPT OF CORRECTIONS ATTN: PHARMACY SERVICES
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City | TALLAHASSEE
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State | FL
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Zip | 32399
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Country | US
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Telephone | 850-717-3287
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Fax |
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Authorized Official
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Title or Position | BUREAU CHIEF OF PHARMACEUTICAL SERV
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Name | DR. RENEA MARCANO
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Credential | PHARMD
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Telephone | 850-717-3287
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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 |
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License Number State |
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