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General NPI Number Information
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NPI Number | 1346359114
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Entity Type | Organization
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Legal Business Name | GULFSHORE PHARMACY INC.
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 421 9TH STREET N
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City | NAPLES
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State | FL
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Zip | 34102-5806
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Country | US
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Telephone | 239-262-2929
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Fax | 239-262-3058
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Provider Business Mailing Address
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Address Line | 421 9TH STREET N
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City | NAPLES
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State | FL
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Zip | 34102-5806
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Country | US
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Telephone | 239-262-2929
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Fax | 239-262-3058
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEL H PARRISH
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Credential | RPH
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Telephone | 239-775-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH19205
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License Number State | FL
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