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General NPI Number Information
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NPI Number | 1023053261
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Entity Type | Organization
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Legal Business Name | FALLBROOK PHARMACY INC II
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 343 E ALVARADO ST STE B
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City | FALLBROOK
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State | CA
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Zip | 92028-2966
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Country | US
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Telephone | 760-728-3182
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Fax | 760-728-2398
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Provider Business Mailing Address
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Address Line | 343 E ALVARADO ST STE B
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City | FALLBROOK
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State | CA
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Zip | 92028-2966
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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 | CFO
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Name | RICHARD CLEMENTS
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Credential |
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Telephone | 760-728-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY39905
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License Number State | CA
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