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General NPI Number Information
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NPI Number | 1720144611
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Entity Type | Organization
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Legal Business Name | S AND S PHARMACY INC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9945 TRINITY BLVD STE 107
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City | TRINITY
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State | FL
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Zip | 34655-4552
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Country | US
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Telephone | 727-376-7800
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Fax | 727-376-7855
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Provider Business Mailing Address
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Address Line | 9945 TRINITY BLVD STE 107
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City | TRINITY
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State | FL
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Zip | 34655-4552
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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 | PRESIDENT AND PHCY MGR
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Name | IHAB BARSOUM
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Credential | RPH
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Telephone | 813-766-9955
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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 | PH22447
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License Number State | FL
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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