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General NPI Number Information
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NPI Number | 1528311529
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN PHARMACY & HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 225 TAMIAMI TRL S
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City | NOKOMIS
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State | FL
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Zip | 34275-3148
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Country | US
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Telephone | 941-445-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 TAMIAMI TRL N
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City | NOKOMIS
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State | FL
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Zip | 34275-3476
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Country | US
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Telephone | 941-445-5687
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. KATHERINE TROMP
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Credential | PHARMD
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Telephone | 941-445-5687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | PH 23191
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License Number State | FL
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