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General NPI Number Information
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NPI Number | 1093528341
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Entity Type | Organization
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Legal Business Name | NEW GOLDEN GATE PHARMA LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 801 IRVING ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122
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Country | US
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Telephone | 415-664-8800
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Fax | 415-664-8518
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Provider Business Mailing Address
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Address Line | 801 IRVING ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122
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Country | US
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Telephone | 415-664-8800
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Fax | 415-664-8518
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | IQBAL S GILL
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Credential | RPH
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Telephone | 510-938-2477
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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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