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NPI 1083782940

NPI 1083782940 : CHRISTOPHER SHORTS PHARM.D, R.PH : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1083782940
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER SHORTS PHARM.D, R.PH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/30/2006
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    Last Update Date     |    02/26/2014
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Provider Practice Location Address
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    Address Line         |    2025 MORSE AVE 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-2115
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    Country              |    US
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    Telephone            |    916-973-3655
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3016 WESTERN CT 
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    City                 |    ROCKLIN
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    State                |    CA
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    Zip                  |    95765-5505
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    54631
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    26020832A
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    License Number State |    IN
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