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General NPI Number Information
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NPI Number | 1568505089
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Entity Type | Organization
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Legal Business Name | CANTONMENT PHARMACY INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 433 S HIGHWAY 29
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City | CANTONMENT
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State | FL
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Zip | 32533-1401
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Country | US
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Telephone | 850-968-9992
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Fax | 850-968-0459
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Provider Business Mailing Address
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Address Line | 433 S HIGHWAY 29
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City | CANTONMENT
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State | FL
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Zip | 32533-1401
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Country | US
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Telephone | 850-968-9992
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN THOMAS READING
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Credential |
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Telephone | 850-968-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH10065
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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 | PH10065
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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 | PH2748
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License Number State | FL
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