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General NPI Number Information
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NPI Number | 1114526100
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Entity Type | Organization
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Legal Business Name | NEWGEN CLINICAL CARE PHARMACY LLC
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 6709 RIDGE RD STE 306
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City | PORT RICHEY
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State | FL
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Zip | 34668-6834
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Country | US
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Telephone | 727-203-3202
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Fax | 855-898-8002
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Provider Business Mailing Address
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Address Line | 6709 RIDGE RD STE 306
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City | PORT RICHEY
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State | FL
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Zip | 34668-6867
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Country | US
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Telephone | 727-203-3202
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Fax | 855-898-8002
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/OWNER
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Name | DR. VIRGINIA DENISE CLEAVER
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Credential | PHARMD
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Telephone | 727-203-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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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 |
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License Number State |
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