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General NPI Number Information
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NPI Number | 1235293408
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Entity Type | Organization
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Legal Business Name | BI-WISE DRUGS, INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4954 RIDGEMOOR BLVD
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City | PALM HARBOR
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State | FL
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Zip | 34685-1744
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Country | US
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Telephone | 727-781-4577
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Fax | 727-771-1374
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Provider Business Mailing Address
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Address Line | 4954 RIDGEMOOR BLVD
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City | PALM HARBOR
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State | FL
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Zip | 34685-1744
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Country | US
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Telephone | 727-781-4577
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Fax | 727-771-1374
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. KATIE V CORBIN
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Credential | B.S.
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Telephone | 727-725-3830
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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 | 18891
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License Number State | FL
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