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General NPI Number Information
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NPI Number | 1508473414
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Entity Type | Organization
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Legal Business Name | TU TE WELLNESS PHARMACY LLC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 8563 ARGYLE BUSINESS LOOP STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6613
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Country | US
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Telephone | 904-672-7604
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Fax | 904-300-3126
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Provider Business Mailing Address
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Address Line | 8563 ARGYLE BUSINESS LOOP STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6613
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Country | US
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Telephone | 904-838-1331
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MARGARET A SALITURO
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Credential |
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Telephone | 904-672-7604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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