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General NPI Number Information
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NPI Number | 1679712673
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Entity Type | Organization
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Legal Business Name | YOUR NEIGHBORHOOD PHARMACY INC
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 11067 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34608-5000
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Country | US
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Telephone | 352-666-4466
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Fax | 352-666-4467
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Provider Business Mailing Address
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Address Line | 11067 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34608-5000
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Country | US
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Telephone | 352-666-4466
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Fax | 352-666-4467
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Authorized Official
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Title or Position | PRESIDENT
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Name | SWETHA MADGULA
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Credential |
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Telephone | 352-666-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23899
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License Number State | FL
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