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General NPI Number Information
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NPI Number | 1033457205
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Entity Type | Organization
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Legal Business Name | SBK PHARMA LLC
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7315 212TH ST SW SUITE 100
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City | EDMONDS
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State | WA
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Zip | 98026-7610
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Country | US
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Telephone | 425-778-7778
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Fax | 425-778-7888
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Provider Business Mailing Address
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Address Line | 7315 212TH ST SW SUITE 100
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City | EDMONDS
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State | WA
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Zip | 98026-7610
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Country | US
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Telephone | 425-778-7778
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Fax | 425-778-7888
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | DR. HARIKRISHNA SAJJA
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Credential | RPH, PHD
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Telephone | 425-778-7778
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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 | PHAR.CF.60337707
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License Number State | WA
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