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General NPI Number Information
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NPI Number | 1245625938
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Entity Type | Organization
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Legal Business Name | PHARMACY 4 LESS LLC
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 805 DOUGLAS AVE STE #159
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 321-207-8438
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Fax | 407-951-8174
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Provider Business Mailing Address
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Address Line | 805 DOUGLAS AVE STE 159
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 321-207-8438
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Fax | 407-951-8174
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Authorized Official
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Title or Position | OWNER/PHARMACY MANAGER
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Name | RICHARD SPRYS
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Credential | RPH CPH
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Telephone | 321-207-8438
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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 | PH28986
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License Number State | FL
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