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NPI 1548932502

NPI 1548932502 : CHEYANNE SHOOK PHARMD, MBA, BCOP : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1548932502
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    Entity Type          |    Individual 
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    Provider Name        |    CHEYANNE SHOOK PHARMD, MBA, BCOP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/29/2021
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    Last Update Date     |    01/29/2026
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Provider Practice Location Address
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    Address Line         |    13000 BRUCE B DOWNS BLVD 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33612-4745
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    Country              |    US
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    Telephone            |    813-972-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    713 PARSONS POINTE ST 
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    City                 |    SEFFNER
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    State                |    FL
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    Zip                  |    33584-7804
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    Country              |    US
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    Telephone            |    813-972-2000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    022166
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    License Number State |    KY
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