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General NPI Number Information
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NPI Number | 1720149586
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Entity Type | Organization
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Legal Business Name | ALPHA DRUGS INC #2
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 7857 PALM RIVER RD
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City | TAMPA
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State | FL
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Zip | 33619
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Country | US
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Telephone | 813-664-9800
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Fax | 813-664-9833
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Provider Business Mailing Address
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Address Line | 7857 PALM RIVER RD
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City | TAMPA
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State | FL
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Zip | 33619
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Country | US
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Telephone | 813-664-9800
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Fax | 813-664-9833
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. ADEKUNLE ADEKANMBI
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Credential | REGISTERED PHARMACIS
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Telephone | 813-664-9800
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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 | PH21091
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License Number State | FL
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