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General NPI Number Information
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NPI Number | 1225048036
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Entity Type | Organization
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Legal Business Name | WOOLLEY'S PHARMACY
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 3761 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34112-6215
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Country | US
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Telephone | 239-775-9908
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Fax | 239-775-2094
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Provider Business Mailing Address
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Address Line | 3761 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34112-6215
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Country | US
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Telephone | 239-775-9908
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Fax | 239-775-2094
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Authorized Official
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Title or Position | OWNER-PHARMACIST
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Name | MR. PAUL P CAMMUSO
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Credential | RPH
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Telephone | 239-775-1018
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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 | PH11849
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License Number State | FL
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