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General NPI Number Information
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NPI Number | 1225186497
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION SHOP OF STUART, INC
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 622 COLORADO AVE
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City | STUART
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State | FL
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Zip | 34994-3016
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Country | US
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Telephone | 772-287-3443
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Fax | 772-287-0087
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Provider Business Mailing Address
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Address Line | 622 COLORADO AVE
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City | STUART
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State | FL
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Zip | 34994-3016
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Country | US
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Telephone | 772-287-3443
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Fax | 772-287-0087
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT BERNARD TAYLOR
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Credential | RPH
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Telephone | 772-287-3443
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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 | PH0001444
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License Number State | FL
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