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General NPI Number Information
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NPI Number | 1467730713
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Entity Type | Organization
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Legal Business Name | WESMARK RX PHARMACY
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 5339 VILLAGE MARKET
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8452
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Country | US
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Telephone | 813-435-3577
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Fax | 813-435-3578
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Provider Business Mailing Address
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Address Line | 5339 VILLAGE MARKET
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City | WESLEY CHAPEL
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State | FL
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Zip | 35544
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Country | US
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Telephone | 813-435-3577
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Fax | 813-435-3578
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. DELALI ADEKA
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Credential |
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Telephone | 571-214-1034
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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 | PH25575
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License Number State | FL
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