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General NPI Number Information
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NPI Number | 1801068689
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Entity Type | Organization
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Legal Business Name | FLORIDA DISCOUNTS RX 1 INC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 1911 W MLK JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-425-2195
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Fax | 813-343-8922
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Provider Business Mailing Address
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Address Line | 1911 W MLK JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-425-2195
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Fax | 813-343-8922
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Authorized Official
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Title or Position | VP
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Name | AKIN BAKARE
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Credential | BSC PHARMACY
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Telephone | 813-382-1513
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23233
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License Number State | FL
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