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General NPI Number Information
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NPI Number | 1114710035
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Entity Type | Organization
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Legal Business Name | ALPHA CARE PHARMACY 002 PC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1710 ROBERTSON BLVD
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City | CHOWCHILLA
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State | CA
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Zip | 93610-9016
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Country | US
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Telephone | 559-550-0022
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Fax | 877-282-5613
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Provider Business Mailing Address
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Address Line | 15010 W WHITESBRIDGE AVE
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City | KERMAN
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State | CA
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Zip | 93630-1030
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Country | US
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Telephone | 559-400-8883
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Fax | 559-400-8883
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER, SECRETARY
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Name | GHASSAN MERRAWI
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Credential |
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Telephone | 818-606-7083
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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 |
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License Number State |
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Taxonomy #2
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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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