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General NPI Number Information
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NPI Number | 1255781183
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Entity Type | Organization
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Legal Business Name | ANDERSONS THRIF-T DRUGS INC
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 3818 HIGHWAY 90
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City | PACE
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State | FL
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Zip | 32571-1014
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Country | US
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Telephone | 850-994-7005
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Fax | 850-994-6996
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Provider Business Mailing Address
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Address Line | 3818 HIGHWAY 90
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City | PACE
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State | FL
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Zip | 32571-1014
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Country | US
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Telephone | 850-994-7005
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Fax | 850-994-6996
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Authorized Official
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Title or Position | OWNER
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Name | DARRELL MILLER
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Credential |
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Telephone | 850-433-2165
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH30187
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License Number State | FL
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