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General NPI Number Information
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NPI Number | 1164434692
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Entity Type | Organization
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Legal Business Name | BI-WISE DRUGS
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3101 STATE ROAD 580
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-4923
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Country | US
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Telephone | 727-726-2277
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Fax | 727-726-3329
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Provider Business Mailing Address
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Address Line | 3101 STATE ROAD 580
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-4923
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Country | US
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Telephone | 727-726-2277
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Fax | 727-726-3329
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. KATHERINE V CORBIN
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Credential | BS
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Telephone | 727-725-3830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH7133
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License Number State | FL
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