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General NPI Number Information
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NPI Number | 1629303714
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Entity Type | Organization
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Legal Business Name | PHARMXPRESS LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 507 E DR MARTIN LUTHER KING JR BLVD STE 101
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City | TAMPA
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State | FL
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Zip | 33603-3932
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Country | US
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Telephone | 813-406-4491
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Fax | 813-279-6266
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Provider Business Mailing Address
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Address Line | 507 E DR MARTIN LUTHER KING JR BLVD STE 101
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City | TAMPA
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State | FL
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Zip | 33603-3932
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Country | US
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Telephone | 813-406-4491
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Fax | 813-279-6266
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN R. BUNNELL
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Credential |
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Telephone | 813-406-4491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH24350
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License Number State | FL
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