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General NPI Number Information
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NPI Number | 1538527130
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Entity Type | Organization
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Legal Business Name | ELKABARY ENTERPRISES LLC, DBA VERACITY PHARMACY
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 13135 KINGS LAKE DR UNIT 102
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City | GIBSONTON
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State | FL
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Zip | 33534-3960
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Country | US
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Telephone | 813-677-8811
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Fax | 813-677-8812
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Provider Business Mailing Address
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Address Line | 13135 KINGS LAKE DR UNIT 102
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City | GIBSONTON
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State | FL
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Zip | 33534-3960
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Country | US
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Telephone | 813-677-8811
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Fax | 813-677-8812
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | DR. EMAN (AMY) ALYELDIN
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Credential | PHARM-D
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Telephone | 813-677-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PH 29982
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH 29982
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH 29982
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH 29982
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License Number State | FL
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