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General NPI Number Information
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NPI Number | 1306333497
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Entity Type | Organization
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Legal Business Name | CARELINE PHARMACY AND HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 11200 E MARTIN LUTHER KING BLVD STE 103
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City | SEFFNER
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State | FL
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Zip | 33584-3358
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Country | US
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Telephone | 813-333-0870
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Fax | 813-235-4726
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Provider Business Mailing Address
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Address Line | 11200 E MARTIN LUTHER KING BLVD STE 103
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City | SEFFNER
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State | FL
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Zip | 33584-8348
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Country | US
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Telephone | 813-333-0870
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Fax | 813-235-4725
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Authorized Official
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Title or Position | DIRECTOR
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Name | SAKYI KOBINA SARSAH
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Credential | DR
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Telephone | 813-333-0870
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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 | PH31332
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License Number State | FL
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