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General NPI Number Information
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NPI Number | 1104375971
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Entity Type | Organization
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Legal Business Name | TROX PHARMACY, LLC
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 14965 OLD SAINT AUGUSTINE RD SUITE 108
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City | JACKSONVILLE
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State | FL
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Zip | 32258-9480
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Country | US
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Telephone | 904-500-8769
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Fax | 904-500-8770
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Provider Business Mailing Address
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Address Line | 14965 OLD SAINT AUGUSTINE RD SUITE 108
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City | JACKSONVILLE
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State | FL
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Zip | 32258-9480
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Country | US
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Telephone | 904-500-8769
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Fax | 904-500-8770
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Authorized Official
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Title or Position | PHARMACY MANAGER/OWNER
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Name | TODD TROXELL
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Credential | RPH
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Telephone | 904-500-8769
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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 | PH30367
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License Number State | FL
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