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General NPI Number Information
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NPI Number | 1437201613
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Entity Type | Organization
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Legal Business Name | SUMMERFIELD PHARMACY
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 13057 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 813-234-9409
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Fax | 813-234-9416
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Provider Business Mailing Address
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Address Line | 13057 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 813-234-9409
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Fax | 813-234-9416
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MS. KAREN M SMALL
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Credential | RPH
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Telephone | 813-234-9409
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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 | PH21074
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License Number State | FL
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