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General NPI Number Information
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NPI Number | 1679738637
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Entity Type | Organization
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Legal Business Name | SIMS PHARMACY LLC
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 1177 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32561-4835
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Country | US
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Telephone | 850-677-9340
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Fax | 850-677-9087
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Provider Business Mailing Address
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Address Line | 1177 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32561-4835
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Country | US
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Telephone | 850-677-9340
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Fax | 850-677-9087
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL WILHOIT
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Credential | PHARMD
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Telephone | 865-273-0993
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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 | 114187
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License Number State | AL
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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 | PH24390
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License Number State | FL
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