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General NPI Number Information
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NPI Number | 1073046280
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Entity Type | Organization
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Legal Business Name | ALS PHARMACY AND COMPOUNDING CENTER INC
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 5731 WATT AVE
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-4751
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Country | US
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Telephone | 916-571-5545
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Fax | 916-571-5548
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Provider Business Mailing Address
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Address Line | 5731 WATT AVE
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-4751
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Country | US
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Telephone | 916-571-5545
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Fax | 916-571-5548
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Authorized Official
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Title or Position | RPH
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Name | ALVIN FERRER
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Credential |
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Telephone | 916-571-5545
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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 |
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License Number State | CA
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