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General NPI Number Information
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NPI Number | 1407152770
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Entity Type | Organization
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Legal Business Name | ST. ANTHONY'S PHARMACY, LLC
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 6512 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2236
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Country | US
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Telephone | 727-848-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 6512 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2236
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Country | US
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Telephone | 727-848-7722
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE HANNA
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Credential |
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Telephone | 727-744-9628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | PH25208
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License Number State | FL
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