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General NPI Number Information
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NPI Number | 1235577644
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Entity Type | Organization
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Legal Business Name | SAINT THOMAS COMPOUNDING LLC
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 36511 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1340
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Country | US
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Telephone | 727-787-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 36511 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1340
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Country | US
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Telephone | 727-787-7400
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | RANIA SHAKER
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Credential |
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Telephone | 718-223-3467
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH30516
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License Number State | FL
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