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General NPI Number Information
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NPI Number | 1396363750
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Entity Type | Organization
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Legal Business Name | PHARMEDICO PHARMACY, LLC
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 6206 N LOCKWOOD RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34243-2529
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Country | US
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Telephone | 941-952-3959
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Fax | 941-946-5491
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Provider Business Mailing Address
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Address Line | 6206 N LOCKWOOD RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34243-2529
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Country | US
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Telephone | 941-952-3959
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Fax | 941-946-5491
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAT M NGUYEN
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Credential | PHARMD, CPH
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Telephone | 941-952-3959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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