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General NPI Number Information
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NPI Number | 1598161333
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH MART PHARMACY INC.
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 5482 RATTLESNAKE HAMMOCK RD
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City | NAPLES
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State | FL
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Zip | 34113-7454
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Country | US
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Telephone | 239-249-4036
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Fax |
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Provider Business Mailing Address
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Address Line | 5482 RATTLESNAKE HAMMOCK RD
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City | NAPLES
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State | FL
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Zip | 34113-7454
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Country | US
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Telephone | 239-249-4036
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. RAMCHAN SAMUEL
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Credential | R.PH
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Telephone | 239-249-4036
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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 | 28693
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License Number State | FL
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