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General NPI Number Information
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NPI Number | 1841327681
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER PHARMACY INC OF QUINCY
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 306 E JEFFERSON ST
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City | QUINCY
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State | FL
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Zip | 32351-2530
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Country | US
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Telephone | 850-627-7595
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Fax | 850-875-1977
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Provider Business Mailing Address
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Address Line | 306 E JEFFERSON ST
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City | QUINCY
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State | FL
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Zip | 32351-2530
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Country | US
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Telephone | 850-627-7595
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Fax | 850-875-1977
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Authorized Official
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Title or Position | OWNER
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Name | LYNN GAINEY MASSEY
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Credential | RPH
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Telephone | 850-627-7595
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH8793
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License Number State | FL
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