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General NPI Number Information
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NPI Number | 1700291606
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Entity Type | Organization
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Legal Business Name | NORTH TAMPA PHARMACY, INC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 14125 7TH ST
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City | DADE CITY
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State | FL
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Zip | 33525-4204
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Country | US
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Telephone | 352-437-4843
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Fax | 352-437-4859
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Provider Business Mailing Address
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Address Line | 14125 7TH ST
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City | DADE CITY
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State | FL
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Zip | 33525-4204
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Country | US
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Telephone | 352-437-4843
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Fax | 352-437-4859
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Authorized Official
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Title or Position | OWNER
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Name | JAMAAL BARNETT
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Credential |
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Telephone | 352-437-4843
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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 | PH28064
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License Number State | FL
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