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General NPI Number Information
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NPI Number | 1922610112
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Entity Type | Organization
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Legal Business Name | EVERWELL SPECIALTY PHARMACY, LLC
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 6506 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32504-6957
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Country | US
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Telephone | 850-473-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 6506 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32504-6957
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Country | US
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Telephone | 850-473-9190
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | BRANDON CONTI
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Credential | PHARMD
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Telephone | 850-473-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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