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General NPI Number Information
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NPI Number | 1518344027
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Entity Type | Organization
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Legal Business Name | ONE-STOP PHARMACY 101 LLC
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1101 6TH ST NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4020
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Country | US
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Telephone | 863-845-5800
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Fax | 863-875-7912
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Provider Business Mailing Address
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Address Line | 3668 FRENTRESS DR
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City | LAKELAND
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State | FL
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Zip | 33812-1206
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Country | US
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Telephone | 863-458-0935
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Fax |
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Authorized Official
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Title or Position | PHARMACY IN CHARGE
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Name | MR. PARAG PATEL
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Credential |
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Telephone | 863-458-0935
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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 | PH28815
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License Number State | FL
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