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General NPI Number Information
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NPI Number | 1427918309
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Entity Type | Organization
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Legal Business Name | MY PHARMACY CRYSTAL RIVER, LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 14730 COBRA WAY
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City | HUDSON
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State | FL
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Zip | 34669-1083
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Country | US
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Telephone | 727-246-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 927 N CITRUS AVE
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-3422
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Country | US
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Telephone | 352-404-5588
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TARIQ A MUHAMMAD
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Credential |
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Telephone | 352-404-5588
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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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