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General NPI Number Information
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NPI Number | 1225181670
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Entity Type | Organization
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Legal Business Name | R B WATSON PHARMACY INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 16 W WALL ST.
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City | FROSTPROOF
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State | FL
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Zip | 33843
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Country | US
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Telephone | 863-635-4568
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Fax | 863-635-2831
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Provider Business Mailing Address
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Address Line | 16 W WALL ST.
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City | FROSTPROOF
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State | FL
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Zip | 33843
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Country | US
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Telephone | 863-635-4568
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Fax | 863-635-2831
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Authorized Official
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Title or Position | OWNER
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Name | HETAL PATEL
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Credential |
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Telephone | 863-635-4568
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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 | PS7176
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License Number State | FL
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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 |
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License Number State |
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