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General NPI Number Information
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NPI Number | 1508454265
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Entity Type | Organization
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Legal Business Name | SIMS PHARMACY LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 1177 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32561-4835
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Country | US
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Telephone | 850-677-9340
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Fax | 850-677-9087
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Provider Business Mailing Address
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Address Line | 1614 E LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37804-6206
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Country | US
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Telephone | 865-273-0993
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Fax | 865-238-2755
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | RICHARD WILHOIT
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Credential |
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Telephone | 850-677-9340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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