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General NPI Number Information
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NPI Number | 1124842513
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Entity Type | Organization
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Legal Business Name | PACE ZONE PHARMACY LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 407 MAIN ST
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City | RIO VISTA
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State | CA
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Zip | 94571-1616
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Country | US
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Telephone | 707-374-5135
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Fax | 707-374-5408
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Provider Business Mailing Address
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Address Line | 407 MAIN ST
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City | RIO VISTA
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State | CA
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Zip | 94571-1616
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Country | US
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Telephone | 707-374-5135
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Fax | 707-374-5408
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | PRATAP KRISHNA ANNE
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Credential |
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Telephone | 209-298-1715
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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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