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General NPI Number Information
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NPI Number | 1356573182
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Entity Type | Organization
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Legal Business Name | PARKWOOD PHARMACY, INC.
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 9706 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34669-3003
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Country | US
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Telephone | 727-863-2052
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Fax | 727-869-8441
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Provider Business Mailing Address
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Address Line | 7920 CONGRESS ST
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City | PORT RICHEY
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State | FL
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Zip | 34668-6713
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Country | US
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Telephone | 727-849-2577
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Fax | 727-847-5024
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES F. VINCENT
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Credential |
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Telephone | 727-849-2577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1313570
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License Number State | FL
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