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General NPI Number Information
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NPI Number | 1962443820
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Entity Type | Organization
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Legal Business Name | WELLHEALTH INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 12276 SAN JOSE BLVD STE 707
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8674
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Country | US
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Telephone | 904-880-1660
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Fax | 904-880-1606
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Provider Business Mailing Address
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Address Line | 12276 SAN JOSE BLVD STE 707
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8674
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Country | US
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Telephone | 904-880-1660
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Fax | 904-880-1606
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Authorized Official
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Title or Position | DIR OF PHARMACY
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Name | RAKESH PATEL
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Credential | RPH
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Telephone | 904-880-1660
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PHNR000296
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH21321
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License Number State | FL
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