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General NPI Number Information
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NPI Number | 1255799904
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Entity Type | Organization
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Legal Business Name | OSPREY PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 50 N LAURA ST SUITE 2500
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3664
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Country | US
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Telephone | 888-617-1953
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Fax | 888-634-9478
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Provider Business Mailing Address
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Address Line | PO BOX 41649
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City | JACKSONVILLE
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State | FL
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Zip | 32203-1649
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Country | US
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Telephone | 888-617-1953
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Fax | 888-634-9478
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER BRANTLEY
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Credential |
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Telephone | 888-617-1953
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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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