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General NPI Number Information
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NPI Number | 1679253231
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Entity Type | Organization
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Legal Business Name | BELMAR PHARMACY FLORIDA, LLC.
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 2500 LAKEPOINTE PKWY
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City | ODESSA
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State | FL
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Zip | 33556-4374
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Country | US
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Telephone | 877-418-4692
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Fax |
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Provider Business Mailing Address
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Address Line | 231 VIOLET ST STE 140
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City | GOLDEN
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State | CO
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Zip | 80401-6722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEA AND PRESIDENT
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Name | ROBERT KILGORE
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Credential |
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Telephone | 608-221-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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