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General NPI Number Information
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NPI Number | 1164036596
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Entity Type | Organization
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Legal Business Name | ANDERSONRX LTC
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2940 EAST ST
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City | ANDERSON
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State | CA
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Zip | 96007-3411
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Country | US
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Telephone | 530-378-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 EAST ST
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City | ANDERSON
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State | CA
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Zip | 96007-3411
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Country | US
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Telephone | 530-378-5566
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | SHERRY D BORCHERT
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Credential | RPH, PHARMD
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Telephone | 530-378-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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