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General NPI Number Information
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NPI Number | 1295049344
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Entity Type | Organization
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Legal Business Name | HOPE PHARMACY OF FLORIDA, INC
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Dates
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Enumeration Date | 07/31/2010
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Last Update Date | 07/31/2010
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Provider Practice Location Address
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Address Line | 6834 GALL BLVD STE 105
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2506
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Country | US
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Telephone | 813-943-3172
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Fax |
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Provider Business Mailing Address
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Address Line | 12013 RUNNING FOX CIR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5686
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Country | US
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Telephone | 813-943-3172
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Fax |
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Authorized Official
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Title or Position | RPH
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Name | MR. MIKE AKANBI ADEGOKE
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Credential |
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Telephone | 813-943-3172
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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 | PH24787
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License Number State | FL
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