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General NPI Number Information
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NPI Number | 1245237502
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Entity Type | Organization
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Legal Business Name | KELSON DRUG INC
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3008 JEFFERSON ST SUITE B
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City | MARIANNA
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State | FL
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Zip | 32446-2318
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Country | US
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Telephone | 850-526-2839
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Fax | 850-526-5259
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Provider Business Mailing Address
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Address Line | 3008 JEFFERSON ST SUITE B
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City | MARIANNA
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State | FL
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Zip | 32446-2318
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Country | US
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Telephone | 850-526-2839
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Fax | 850-526-5259
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Authorized Official
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Title or Position | PRESIDENT, PHARMACY MANAGER
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Name | LEE J TEMPLES
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Credential |
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Telephone | 850-526-2839
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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 |
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License Number State |
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