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General NPI Number Information
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NPI Number | 1477056901
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Entity Type | Organization
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Legal Business Name | L AND N PHARMACY INC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1849 TAMIAMI TRL S
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City | VENICE
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State | FL
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Zip | 34293-3128
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Country | US
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Telephone | 941-786-3208
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Fax | 941-786-3478
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Provider Business Mailing Address
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Address Line | 1849 TAMIAMI TRL S
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City | VENICE
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State | FL
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Zip | 34293-3128
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Country | US
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Telephone | 941-786-3208
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Fax | 941-786-3478
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD GAITAN
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Credential |
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Telephone | 941-786-3478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH31361
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License Number State | FL
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