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General NPI Number Information
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NPI Number | 1992892830
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Entity Type | Organization
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Legal Business Name | PEE JAY INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2521 13TH ST SUITE A-1
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4119
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Country | US
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Telephone | 407-892-1060
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Fax | 407-892-7339
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Provider Business Mailing Address
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Address Line | 2521 13TH ST SUITE A-1
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City | ST CLOUD
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State | FL
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Zip | 34769
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Country | US
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Telephone | 407-892-1060
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Fax | 407-892-7339
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC LARSON
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Credential | PHARMD
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Telephone | 407-892-1060
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH17311
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License Number State | FL
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