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General NPI Number Information
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NPI Number | 1427562412
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Entity Type | Organization
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Legal Business Name | ZEPHYRHILLS PHARMACY LLC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 36504 PURE WATER WAY
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-3083
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Country | US
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Telephone | 813-815-7000
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Fax | 813-563-1019
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Provider Business Mailing Address
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Address Line | 36504 PURE WATER WAY
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-3083
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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 | PIC
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Name | BHAGAVAN GOTTIPATI
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Credential |
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Telephone | 813-815-7000
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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 | PH31046
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License Number State | FL
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