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General NPI Number Information
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NPI Number | 1518126473
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Entity Type | Organization
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Legal Business Name | GATUS-PHARMA LLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 3030 E SEMORAN BLVD SUITE 164
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City | APOPKA
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State | FL
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Zip | 32703-5952
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Country | US
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Telephone | 407-774-1957
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Fax | 407-774-1734
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Provider Business Mailing Address
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Address Line | 3030 E SEMORAN BLVD SUITE 164
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City | APOPKA
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State | FL
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Zip | 32703-5952
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Country | US
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Telephone | 407-774-1957
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Fax | 407-774-1734
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JOSEPH KOFI APPIAHENE
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Credential | R.PH.
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Telephone | 407-774-1957
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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 |
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License Number State |
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