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General NPI Number Information
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NPI Number | 1770974750
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Entity Type | Organization
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Legal Business Name | ADVANCE PHARMACY SERVICE LLC
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 7926 W HILLSBOROUGH AVE STE E
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City | TAMPA
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State | FL
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Zip | 33615-4600
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Country | US
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Telephone | 813-437-2100
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Fax | 813-437-2101
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Provider Business Mailing Address
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Address Line | 7926 W HILLSBOROUGH AVE STE E
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City | TAMPA
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State | FL
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Zip | 33615-4600
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Country | US
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Telephone | 813-437-2100
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Fax | 813-437-2101
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Authorized Official
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Title or Position | OWNER
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Name | DOAA KOTB
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Credential |
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Telephone | 810-394-5416
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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 | PH28356
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License Number State | FL
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Taxonomy #2
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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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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