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General NPI Number Information
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NPI Number | 1073220463
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Entity Type | Organization
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Legal Business Name | CARSON PHARMACY INC.
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Dates
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Enumeration Date | 11/04/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 1180 E CARSON ST
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City | LONG BEACH
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State | CA
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Zip | 90807-3662
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Country | US
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Telephone | 562-362-6422
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Fax | 562-362-6393
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Provider Business Mailing Address
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Address Line | 1180 E CARSON ST
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City | LONG BEACH
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State | CA
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Zip | 90807-3662
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Country | US
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Telephone | 562-362-6422
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Fax | 562-362-6393
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | SEAN PATEL
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Credential | PHARM.D.
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Telephone | 714-457-7686
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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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