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General NPI Number Information
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NPI Number | 1235147273
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Entity Type | Organization
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Legal Business Name | CARRABELLE MEDICAL PHARMACY
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 206 MARINE STREET SE
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City | CARRABELLE
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State | FL
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Zip | 32322-0567
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Country | US
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Telephone | 850-697-2169
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Fax | 850-697-5353
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Provider Business Mailing Address
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Address Line | PO BOX 567
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City | CARRABELLE
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State | FL
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Zip | 32322-0567
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Country | US
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Telephone | 850-697-2169
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Fax | 850-697-5353
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MRS. KAREN SUE RABINOWITZ
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Credential | REG CERTIFIED PHARMA
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Telephone | 850-697-2169
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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 | PS18986
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License Number State | FL
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