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General NPI Number Information
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NPI Number | 1750327219
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Entity Type | Organization
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Legal Business Name | RX ADVANTAGE INC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 2256 W NINE MILE RD STE B
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City | PENSACOLA
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State | FL
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Zip | 32534-9471
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Country | US
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Telephone | 850-478-7923
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Fax | 850-478-7909
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Provider Business Mailing Address
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Address Line | 2256 W NINE MILE RD STE B
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City | PENSACOLA
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State | FL
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Zip | 32534-9471
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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 | COO
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Name | STEVE MARUSCHAK
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Credential | RPH
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Telephone | 850-478-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH0017123
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License Number State | FL
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