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General NPI Number Information
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NPI Number | 1740533405
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Entity Type | Organization
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Legal Business Name | SEMORAN PHARMACY INC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 601 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32807-3120
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Country | US
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Telephone | 407-283-4014
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 782070
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City | ORLANDO
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State | FL
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Zip | 32878-2070
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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 | PHARMACIST
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Name | GENEVIEVE U EWULUM
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Credential | B.PHARM
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Telephone | 727-688-4754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS39254
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License Number State | FL
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