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General NPI Number Information
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NPI Number | 1346993532
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Entity Type | Organization
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Legal Business Name | SW PHARMACY INC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 1233 LANE AVE S STE 9
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6254
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Country | US
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Telephone | 904-769-5104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 600873
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City | SAINT JOHNS
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State | FL
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Zip | 32260-0873
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Country | US
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Telephone | 214-274-4277
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Fax |
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Authorized Official
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Title or Position | AO
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Name | SAMIR M JARECHA
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Credential |
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Telephone | 214-274-4277
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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 |
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License Number State |
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