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General NPI Number Information
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NPI Number | 1093856312
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Entity Type | Organization
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Legal Business Name | P&G INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1166 OLD MISSION ROAD
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080
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Country | US
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Telephone | 650-589-4133
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Fax | 650-589-9943
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Provider Business Mailing Address
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Address Line | 1166 OLD MISSION ROAD
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080
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Country | US
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Telephone | 650-589-4133
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Fax | 650-589-9943
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Authorized Official
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Title or Position | OWNER RPH
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Name | MR. THOMAS JOHN GARIBALDI
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Credential |
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Telephone | 650-589-4133
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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 | PHY46165
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License Number State | CA
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