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General NPI Number Information
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NPI Number | 1417366840
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Entity Type | Organization
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Legal Business Name | PEOPLES PHARMACY TWO, INC.
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 1818 HARDEN BLVD SUITE 150
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City | LAKELAND
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State | FL
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Zip | 33803-1812
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Country | US
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Telephone | 863-688-3683
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Fax | 863-858-4832
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Provider Business Mailing Address
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Address Line | 1818 HARDEN BLVD SUITE 150
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City | LAKELAND
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State | FL
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Zip | 33803-1812
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Country | US
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Telephone | 863-688-3682
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Fax | 863-858-4832
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KAREN A MCKOWN
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Credential |
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Telephone | 863-797-5384
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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 | PH26843
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License Number State | FL
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