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General NPI Number Information
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NPI Number | 1194979799
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Entity Type | Organization
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Legal Business Name | TNC PHARMACY LLC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 1947 W DR MARTIN LUTHER KING JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6509
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Country | US
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Telephone | 813-374-2400
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Fax | 813-374-2401
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Provider Business Mailing Address
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Address Line | 1947 W DR MARTIN LUTHER KING JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6509
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Country | US
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Telephone | 813-374-2400
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Fax | 813-374-2401
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Authorized Official
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Title or Position | PIC
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Name | CHRISTOPHER SWITLYK
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Credential |
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Telephone | 813-784-0333
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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 | PH23674
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License Number State | FL
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