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General NPI Number Information
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NPI Number | 1285702084
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Entity Type | Organization
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Legal Business Name | C & C COMMUNITY PHARMACY INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 927 S. GOLDWYN AVE #111
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City | ORLANDO
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State | FL
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Zip | 32805
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Country | US
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Telephone | 407-295-6201
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Fax | 407-295-0306
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Provider Business Mailing Address
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Address Line | 927 S. GOLDWYN AVE #111
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City | ORLANDO
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State | FL
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Zip | 32805
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Country | US
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Telephone | 407-295-6201
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Fax | 407-295-0306
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRETT R. TAFT
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Credential |
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Telephone | 205-218-0815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | PH12052
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License Number State | FL
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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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