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General NPI Number Information
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NPI Number | 1285982611
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Entity Type | Organization
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Legal Business Name | FRANKLIN PHARMACY SOUTH LLC
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 13933 17TH ST STE 300
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City | DADE CITY
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State | FL
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Zip | 33525-4603
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Country | US
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Telephone | 352-437-4856
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Fax | 352-458-0238
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Provider Business Mailing Address
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Address Line | 13933 17TH ST STE 300
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City | DADE CITY
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State | FL
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Zip | 33525-4603
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Country | US
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Telephone | 352-437-4856
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Fax | 352-458-0238
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Authorized Official
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Title or Position | CEO
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Name | JAMES WESLEY MOSS
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Credential |
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Telephone | 352-437-4856
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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 | PH26310
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License Number State | FL
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