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General NPI Number Information
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NPI Number | 1558164426
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Entity Type | Organization
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Legal Business Name | SARASOTA COMPOUNDING PHARMACY
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 2075 SIESTA DR
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City | SARASOTA
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State | FL
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Zip | 34239-5232
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Country | US
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Telephone | 941-366-0880
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Fax | 941-366-4977
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Provider Business Mailing Address
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Address Line | 2075 SIESTA DR
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City | SARASOTA
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State | FL
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Zip | 34239-5232
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Country | US
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Telephone | 941-366-0880
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Fax | 941-366-4977
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMIN FARAMARZIFAR
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Credential |
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Telephone | 941-366-0880
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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 |
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License Number State |
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