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General NPI Number Information
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NPI Number | 1619367760
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Entity Type | Organization
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Legal Business Name | NEW HORIZON PHARMACY AND MEDICAL SUPPLY
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 1213 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-2540
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Country | US
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Telephone | 407-270-7019
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Fax |
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Provider Business Mailing Address
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Address Line | 7868 REX HILL TRL
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City | ORLANDO
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State | FL
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Zip | 32818-8754
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Country | US
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Telephone | 407-373-8859
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | TASHAY WRIGHT
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Credential |
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Telephone | 407-373-8859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH28843
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License Number State | FL
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