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General NPI Number Information
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NPI Number | 1598204547
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Entity Type | Organization
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Legal Business Name | CRAWFORDVILLE PHARMACY INC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2650 CRAWFORDVILLE HWY SUITE 1
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327
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Country | US
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Telephone | 352-874-9878
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Fax | 352-874-9878
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Provider Business Mailing Address
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Address Line | 2650 CRAWFORDVILLE HWY STE 1
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-2369
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Country | US
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Telephone | 352-874-9878
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Fax |
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Authorized Official
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Title or Position | AO
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Name | KENAN ALKHOURY
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Credential |
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Telephone | 850-962-8946
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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 |
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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 | PH30647
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License Number State | FL
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