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General NPI Number Information
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NPI Number | 1841244316
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Entity Type | Organization
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Legal Business Name | GARRETT'S PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 536 E 1ST AVE
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City | CRESTVIEW
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State | FL
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Zip | 32536-2505
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Country | US
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Telephone | 850-628-2008
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Fax | 850-682-4145
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Provider Business Mailing Address
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Address Line | 536 E 1ST AVE
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City | CRESTVIEW
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State | FL
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Zip | 32536-2505
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Country | US
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Telephone | 850-628-2008
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Fax | 850-682-4145
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Authorized Official
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Title or Position | OWNER-PHARMACIST
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Name | MR. CLIFTON LYNN GARRETT
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Credential | R.PH.
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Telephone | 850-682-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH 8508
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License Number State | FL
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