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General NPI Number Information
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NPI Number | 1053646265
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Entity Type | Organization
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Legal Business Name | SAN DIEGO D & M PHARMACIES INC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 955 CATALINA BLVD #102A
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City | SAN DIEGO
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State | CA
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Zip | 92106-2881
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Country | US
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Telephone | 619-630-2710
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Fax | 619-630-2715
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Provider Business Mailing Address
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Address Line | 955 CATALINA BLVD #102A
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City | SAN DIEGO
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State | CA
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Zip | 92106-2881
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Country | US
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Telephone | 619-630-2710
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Fax | 619-630-2715
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MICHAEL SAAD
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Credential | DIPHARM
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Telephone | 619-223-7171
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY50032
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License Number State | CA
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