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General NPI Number Information
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NPI Number | 1093809493
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Entity Type | Organization
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Legal Business Name | RCY PHARMACY INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 9349 FOOTHILL BLVD STE A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3567
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Country | US
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Telephone | 909-987-2518
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Fax | 909-980-7306
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Provider Business Mailing Address
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Address Line | 9349 FOOTHILL BLVD STE A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3567
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Country | US
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Telephone | 909-987-2518
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Fax | 909-980-7306
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Authorized Official
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Title or Position | PIC
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Name | JENNIFER YOON
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Credential |
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Telephone | 510-847-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY50582
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License Number State | CA
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