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General NPI Number Information
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NPI Number | 1073153557
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Entity Type | Organization
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Legal Business Name | SIMI CARE PHARMACY, INC.
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 2925 SYCAMORE DR STE 100
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1208
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Country | US
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Telephone | 805-624-7772
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Fax | 805-624-7730
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Provider Business Mailing Address
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Address Line | 2925 SYCAMORE DR STE 100
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1208
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Country | US
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Telephone | 805-624-7772
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Fax | 805-624-7730
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE AND CEO
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Name | ASHER KASHANCHI
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Credential |
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Telephone | 818-389-9837
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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 |
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