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General NPI Number Information
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NPI Number | 1528173598
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Entity Type | Organization
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Legal Business Name | THE DRUG SHOP, INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2040 N 12TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-5303
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Country | US
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Telephone | 850-433-0031
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Fax | 850-322-3193
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Provider Business Mailing Address
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Address Line | PO BOX 2217
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City | PENSACOLA
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State | FL
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Zip | 32513-2217
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Country | US
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Telephone | 850-433-0031
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Fax | 850-433-3193
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. LORENZO TALMADGE STEWART
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Credential |
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Telephone | 850-433-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | PH0001202
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License Number State | FL
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