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General NPI Number Information
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NPI Number | 1568575520
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Entity Type | Organization
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Legal Business Name | WEBB'S FORT MYERS PRESCRIPTION SHOP, INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 13195 METRO PKWY STE 3
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City | FORT MYERS
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State | FL
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Zip | 33966-4810
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Country | US
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Telephone | 239-939-0249
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Fax | 239-936-2427
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Provider Business Mailing Address
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Address Line | 13195 METRO PKWY STE 3
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City | FORT MYERS
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State | FL
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Zip | 33966-4810
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Country | US
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Telephone | 239-939-0249
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Fax | 239-936-2427
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | DR. RICHARD ARDEN LAWRENCE
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Credential | PHARMD
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Telephone | 239-939-0249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 6120
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License Number State | FL
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