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General NPI Number Information
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NPI Number | 1093829335
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Entity Type | Organization
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Legal Business Name | LANDMARK DRUGS, INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 2501 W CERVANTES ST
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City | PENSACOLA
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State | FL
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Zip | 32505-7152
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Country | US
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Telephone | 850-433-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 W CERVANTES ST
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City | PENSACOLA
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State | FL
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Zip | 32505-7152
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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 | OWNER
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Name | S FAIRMAN
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Credential |
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Telephone | 850-433-5404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PH16759
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH16759
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH16759
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH16759
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH16759
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PH16759
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH16759
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH16759
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License Number State | FL
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