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General NPI Number Information
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NPI Number | 1932275690
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Entity Type | Organization
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Legal Business Name | EAST HILL PHARMACY INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 2899 N 12TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-4001
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Country | US
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Telephone | 850-438-7568
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Fax | 850-438-0683
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Provider Business Mailing Address
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Address Line | 2899 N 12TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-4001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THIRD PARTY PLAN COORDINATOR
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Name | DENA FERMAN
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Credential | RPH
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Telephone | 314-993-6000
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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 | PH13368
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License Number State | FL
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