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General NPI Number Information
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NPI Number | 1376489526
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Entity Type | Organization
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Legal Business Name | TRUE LIGHT HEALTHHUB PHARMACY LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 13526 VILLAGE PARK DR
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City | ORLANDO
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State | FL
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Zip | 32837-7685
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Country | US
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Telephone | 772-321-9963
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Fax | 772-321-9963
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Provider Business Mailing Address
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Address Line | 13526 VILLAGE PARK DR
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City | ORLANDO
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State | FL
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Zip | 32837-7685
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Country | US
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Telephone | 772-321-9963
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Fax | 772-321-9963
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Authorized Official
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Title or Position | OWNER
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Name | PETER B SHEHATA
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Credential |
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Telephone | 772-321-9963
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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