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General NPI Number Information
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NPI Number | 1104827724
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Entity Type | Organization
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Legal Business Name | PRIORITY HEALTHCARE PHARMACY INC.
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 250 TECHNOLOGY PARK
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City | LAKE MARY
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State | FL
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Zip | 32746-7115
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Country | US
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Telephone | 800-892-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 6272 LEE VISTA BLVD LEGAL DEPT
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City | ORLANDO
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State | FL
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Zip | 32822-5148
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Country | US
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Telephone | 888-773-7376
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Fax | 888-773-7386
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | GAYLE JOHNSTON
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Credential |
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Telephone | 407-854-6532
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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 | PH16300
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License Number State | FL
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