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General NPI Number Information
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NPI Number | 1508105677
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Entity Type | Organization
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Legal Business Name | TOPICAL RX PHARMACY, LLC
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 1536 KINGSLEY AVE #118
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City | ORANGE PARK
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State | FL
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Zip | 32073-4587
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Country | US
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Telephone | 850-933-4342
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Fax | 855-237-4055
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Provider Business Mailing Address
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Address Line | 1536 KINGSLEY AVE #118
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City | ORANGE PARK
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State | FL
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Zip | 32073-4587
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Country | US
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Telephone | 850-933-4342
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Fax | 855-237-4055
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Authorized Official
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Title or Position | PARTNER
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Name | MR. WILBURN TURNER DAVIS JR.
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Credential | RPH
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Telephone | 850-933-4342
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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 | PH26671
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License Number State | FL
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