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General NPI Number Information
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NPI Number | 1245877406
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Entity Type | Organization
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Legal Business Name | RICHEY MEDICAL PHARMACY, LLC
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 5346 GRAND BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4012
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Country | US
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Telephone | 727-807-5344
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Fax | 727-807-6320
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Provider Business Mailing Address
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Address Line | 4939 FLORAMAR TER APT 207
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3303
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Country | US
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Telephone | 813-431-1718
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHARMACIST IN CHARGE
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Name | SANDRA MARCOS
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Credential | RPH
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Telephone | 813-431-1718
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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 | 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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