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General NPI Number Information
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NPI Number | 1407595622
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Entity Type | Organization
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Legal Business Name | HEBRON PHARMACY
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 06/04/2022
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Provider Practice Location Address
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Address Line | 96 INTEGRITY DRIVE SUITE D
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City | HEBRON
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State | OH
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Zip | 43025
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Country | US
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Telephone | 740-928-3455
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Fax | 740-928-3450
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Provider Business Mailing Address
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Address Line | 2812 W DR. MLK JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-304-2221
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Fax | 888-239-8423
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Authorized Official
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Title or Position | OWNER
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Name | HARDIKKUMAR PATEL
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Credential |
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Telephone | 973-362-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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