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General NPI Number Information
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NPI Number | 1164516647
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Entity Type | Organization
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Legal Business Name | REICH'S PHARMACY, INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 39 W 10TH ST
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City | TRACY
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State | CA
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Zip | 95376-3901
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Country | US
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Telephone | 209-835-1832
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Fax | 209-835-0704
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Provider Business Mailing Address
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Address Line | 39 W 10TH ST
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City | TRACY
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State | CA
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Zip | 95376-3901
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Country | US
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Telephone | 209-835-1832
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Fax | 209-835-0704
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Authorized Official
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Title or Position | GENERAL PARTNER/RPH
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Name | DR. HAROLD KEITH REICH
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Credential | PHARM D
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Telephone | 209-835-1832
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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 | PHY45237
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License Number State | CA
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