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General NPI Number Information
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NPI Number | 1417871096
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Entity Type | Organization
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Legal Business Name | MED & CO INVESTMENT LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 722 E MEMORIAL BLVD STE B
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City | LAKELAND
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State | FL
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Zip | 33801-1848
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Country | US
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Telephone | 813-410-8946
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Fax |
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Provider Business Mailing Address
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Address Line | 722 E MEMORIAL BLVD STE B
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City | LAKELAND
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State | FL
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Zip | 33801-1848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MOHAMED DEMBELE
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Credential |
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Telephone | 863-583-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number |
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License Number State |
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