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General NPI Number Information
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NPI Number | 1366306532
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Entity Type | Organization
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Legal Business Name | SOWAL PHARMACY LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 9375 EMERALD COAST PKWY W STE 6
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7275
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Country | US
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Telephone | 850-797-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 9375 EMERALD COAST PKWY W STE 6
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7275
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Country | US
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Telephone | 850-797-2711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SONIA PETRUCCI
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Credential | PHARMD
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Telephone | 305-903-1782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 |
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License Number State |
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