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General NPI Number Information
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NPI Number | 1245647627
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Entity Type | Organization
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Legal Business Name | WESTERN FLORIDA PHARMACY LLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 5001 COMMERCE PARK CIR SUITE B
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City | PENSACOLA
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State | FL
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Zip | 32505-1659
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Country | US
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Telephone | 850-266-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 COMMERCE PARK CIR SUITE B
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City | PENSACOLA
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State | FL
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Zip | 32505-1659
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Country | US
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Telephone | 850-266-9282
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Fax |
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Authorized Official
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Title or Position | COO
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Name | WILLIAM CHANDLER
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Credential |
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Telephone | 251-510-7466
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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 | 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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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PH28320
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License Number State | FL
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