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General NPI Number Information
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NPI Number | 1174040943
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Entity Type | Organization
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Legal Business Name | ANDERSON BROTHERS FLORIN SQUARE PHARMACY INC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 2374 FLORIN RD
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City | SACRAMENTO
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State | CA
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Zip | 95822-4403
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Country | US
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Telephone | 916-428-3794
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Fax |
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Provider Business Mailing Address
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Address Line | 2374 FLORIN RD
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City | SACRAMENTO
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State | CA
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Zip | 95822-4403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | JOHN ANDERSON
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Credential |
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Telephone | 916-428-3796
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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 | 208840
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License Number State | CA
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