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General NPI Number Information
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NPI Number | 1891321089
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Entity Type | Organization
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Legal Business Name | EAGLE PHARMACY LLC
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 330 EAGLES LANDING DR STE 172
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City | LAKELAND
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State | FL
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Zip | 33810-3041
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Country | US
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Telephone | 888-920-0527
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Fax | 877-816-5523
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Provider Business Mailing Address
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Address Line | 330 EAGLES LANDING DR STE 172
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City | LAKELAND
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State | FL
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Zip | 33810-3041
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Country | US
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Telephone | 888-920-0527
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Fax | 877-816-5523
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Authorized Official
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Title or Position | VP, PHARMACY OPERATIONS
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Name | KEVIN BISCH
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Credential | PHARMACIST
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Telephone | 267-251-6319
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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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