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General NPI Number Information
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NPI Number | 1134234164
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Entity Type | Organization
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Legal Business Name | LINCOURT PHARMACY CORP
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 501 S LINCOLN AVE STE 10
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City | CLEARWATER
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State | FL
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Zip | 33756-5945
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Country | US
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Telephone | 727-447-4248
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Fax | 727-445-9604
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Provider Business Mailing Address
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Address Line | PO BOX 17175
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City | TAMPA
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State | FL
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Zip | 33682-7175
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Country | US
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Telephone | 727-447-4248
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Fax | 727-445-9604
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Authorized Official
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Title or Position | CFO
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Name | STEPHEN BANJOKO
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Credential |
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Telephone | 813-341-4000
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH8725
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License Number State | FL
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