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General NPI Number Information
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NPI Number | 1922544535
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Entity Type | Organization
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Legal Business Name | HPCS LLC
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Dates
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Enumeration Date | 01/07/2017
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Last Update Date | 01/07/2017
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Provider Practice Location Address
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Address Line | 7066 N CHURCH AVE
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City | MULBERRY
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State | FL
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Zip | 33860-2085
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Country | US
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Telephone | 863-398-2351
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Fax |
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Provider Business Mailing Address
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Address Line | 2864 VINTAGE VIEW LOOP
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City | LAKELAND
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State | FL
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Zip | 33812-4064
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Country | US
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Telephone | 863-398-2351
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACY MANAGER
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Name | YOGENDRAKUMAR N PATEL
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Credential | RPH
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Telephone | 863-398-2351
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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 | 30551
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License Number State | FL
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