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General NPI Number Information
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NPI Number | 1831231737
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION SHOPPES III LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 HERRELL RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-3635
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Country | US
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Telephone | 407-923-2223
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Fax | 407-483-0265
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Provider Business Mailing Address
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Address Line | 203 HERRELL RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-3635
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Country | US
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Telephone | 407-923-2223
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Fax | 407-483-0265
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SAMIR AMIN
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Credential | PHARMACIST
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Telephone | 407-923-2223
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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 | PH21466
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License Number State | FL
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