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General NPI Number Information
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NPI Number | 1588107411
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Entity Type | Organization
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Legal Business Name | APOLLO CARE PHARMACY ,LLC
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Dates
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Enumeration Date | 11/25/2016
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 4061 W OAK RIDGE RD
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City | ORLANDO
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State | FL
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Zip | 32809-3604
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Country | US
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Telephone | 352-870-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E HINSON AVE
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City | HAINES CITY
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State | FL
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Zip | 33844-5237
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Country | US
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Telephone | 407-701-1150
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Fax | 407-985-5315
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Authorized Official
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Title or Position | PRESIDENT
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Name | BALA KODE
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Credential | RPH
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Telephone | 407-701-1150
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH30472
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License Number State | FL
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