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General NPI Number Information
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NPI Number | 1457393993
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Entity Type | Organization
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Legal Business Name | FCS PHARMACY LLC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 951 BROKEN SOUND PKWY SUITE 252
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City | BOCA RATON
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State | FL
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Zip | 33487-3507
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Country | US
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Telephone | 800-223-7151
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Fax | 561-995-9162
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Provider Business Mailing Address
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Address Line | PO BOX 533211
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City | CHARLOTTE
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State | NC
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Zip | 28290-3211
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Country | US
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Telephone | 800-223-7151
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Fax | 561-995-9162
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JARRETT BOSTWICK
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Credential |
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Telephone | 561-314-1700
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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 | PH18941
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License Number State | FL
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