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General NPI Number Information
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NPI Number | 1508562877
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Entity Type | Organization
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Legal Business Name | CENTERWELL PHARMACY, INC.
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 11010 FLORIDA CROWN DRIVE, SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32824-7017
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Country | US
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Telephone | 800-379-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 11010 FLORIDA CROWN DR STE 200
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City | ORLANDO
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State | FL
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Zip | 32824-7017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | SEAN LYSINGER
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Credential |
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Telephone | 502-580-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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