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General NPI Number Information
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NPI Number | 1609691039
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Entity Type | Organization
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Legal Business Name | INTERGRATED PHARMACEUTICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1478 N WILSON AVE
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City | BARTOW
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State | FL
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Zip | 33830-3373
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Country | US
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Telephone | 863-537-6694
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Fax | 863-537-6579
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Provider Business Mailing Address
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Address Line | PO BOX 46216
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City | TAMPA
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State | FL
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Zip | 33646-0102
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Country | US
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Telephone | 863-537-6694
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Fax | 863-537-6579
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Authorized Official
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Title or Position | PHARMACY MGR
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Name | DR. ENOCH A OFOSU
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Credential | MD, PHARM.D
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Telephone | 863-537-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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