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General NPI Number Information
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NPI Number | 1285973842
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Entity Type | Organization
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Legal Business Name | CAREMAX PHARMACY LLC
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2789 PARK ST
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City | JACKSONVILLE
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State | FL
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Zip | 32205-7607
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Country | US
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Telephone | 904-551-9026
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Fax | 904-758-3519
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Provider Business Mailing Address
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Address Line | PO BOX 600489
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City | JACKSONVILLE
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State | FL
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Zip | 32260-0489
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Country | US
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Telephone | 904-551-9026
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Fax | 904-758-3519
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. VIPUL MAMTORA
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Credential |
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Telephone | 904-551-9026
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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 | PH26525
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License Number State | FL
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