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General NPI Number Information
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NPI Number | 1013359884
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Entity Type | Organization
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Legal Business Name | LINDSAY PHARMACY
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 781 SEQUOIA AVE STE 2
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City | LINDSAY
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State | CA
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Zip | 93247-1448
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Country | US
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Telephone | 559-562-7979
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Fax | 559-671-4300
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Provider Business Mailing Address
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Address Line | PO BOX 21537
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City | BAKERSFIELD
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State | CA
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Zip | 93390-1537
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Country | US
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Telephone | 559-562-7979
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Fax | 559-671-4300
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Authorized Official
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Title or Position | OWNER/ PHARMACIST-IN-CHARGE
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Name | DR. EDEM T. UDOH-AFAHA
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Credential | PHARM.D
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Telephone | 559-562-7979
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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 | PHY 51148
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License Number State | CA
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