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General NPI Number Information
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NPI Number | 1245399732
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Entity Type | Organization
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Legal Business Name | CENTURY PHARMACY, LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7531 MAYO ST
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City | CENTURY
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State | FL
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Zip | 32535-2906
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Country | US
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Telephone | 850-256-3472
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Fax | 850-256-3529
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Provider Business Mailing Address
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Address Line | 7531 MAYO ST
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City | CENTURY
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State | FL
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Zip | 32535-2906
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Country | US
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Telephone | 850-256-3472
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Fax | 850-256-3529
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. JULIE L BOOTH-MORAN
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Credential | RPH
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Telephone | 850-256-3472
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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 | PH18261
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH18261
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License Number State | FL
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