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General NPI Number Information
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NPI Number | 1548648363
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Entity Type | Organization
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Legal Business Name | CAREMAX PHARMACY 725 LLC
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 5547 NORMANDY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6246
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Country | US
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Telephone | 904-551-9026
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Fax | 866-725-5332
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Provider Business Mailing Address
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Address Line | PO BOX 600914
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City | JACKSONVILLE
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State | FL
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Zip | 32260-0914
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED USER
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Name | MR. ANKURKUMAR ASHOKKUMAR PARIKH
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Credential |
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Telephone | 904-386-6785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH27672
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License Number State | FL
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