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General NPI Number Information
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NPI Number | 1790795581
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA PHARMACY, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 347 SW MAIN BLVD SUITE 102
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City | LAKE CITY
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State | FL
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Zip | 32025-5262
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Country | US
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Telephone | 386-758-6770
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Fax | 386-758-9413
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Provider Business Mailing Address
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Address Line | 347 SW MAIN BLVD SUITE 102
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City | LAKE CITY
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State | FL
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Zip | 32025-5262
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Country | US
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Telephone | 386-758-6770
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Fax | 386-758-9413
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Authorized Official
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Title or Position | CO-OWNER/VP/PHARMACIST
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Name | JOEL E. ROSENFELD
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Credential | RPH
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Telephone | 386-758-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH12595
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH12595
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License Number State | FL
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