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General NPI Number Information
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NPI Number | 1679810568
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Entity Type | Organization
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Legal Business Name | BAYCARE PHARMACY
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 620 10TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1407
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Country | US
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Telephone | 727-502-4144
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Fax | 727-502-4143
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Provider Business Mailing Address
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Address Line | 620, 10TH ST NORTH
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705
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Country | US
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Telephone | 727-502-4144
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Fax | 727-502-4143
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. TIMISI C JOHNSON
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Credential | RN
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Telephone | 727-470-4609
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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 | PH26585
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License Number State | FL
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