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General NPI Number Information
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NPI Number | 1306289210
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Entity Type | Organization
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Legal Business Name | EASTERN PHARMACY INC
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 2046 W SILVER SPRINGS BLVD
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City | OCALA
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State | FL
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Zip | 34475-6366
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Country | US
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Telephone | 352-622-9909
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Fax | 352-622-9998
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Provider Business Mailing Address
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Address Line | 2046 W SILVER SPRINGS BLVD
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City | OCALA
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State | FL
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Zip | 34475-6366
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Country | US
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Telephone | 352-622-9909
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Fax | 352-622-9998
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DAOUD ZAYED
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Credential |
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Telephone | 352-615-8188
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH26673
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License Number State | FL
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