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General NPI Number Information
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NPI Number | 1629457270
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Entity Type | Organization
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Legal Business Name | WILL-CARE PHARMACY LLC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 9867 E FERN ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5413
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Country | US
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Telephone | 305-253-8100
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Fax | 305-712-4499
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Provider Business Mailing Address
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Address Line | 9867 E FERN ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5413
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Country | US
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Telephone | 305-253-8100
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Fax | 305-712-4499
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Authorized Official
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Title or Position | PRESIDENT
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Name | LANCELOT WILLIAMS
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Credential |
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Telephone | 305-253-8100
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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 | FL
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