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General NPI Number Information
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NPI Number | 1194155697
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Entity Type | Organization
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Legal Business Name | TOWER PHARMACY, INC.
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 1801 COLORADO AVE SUITE 100
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City | TURLOCK
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State | CA
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Zip | 95382-2706
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Country | US
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Telephone | 209-216-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 COLORADO AVE SUITE 100
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City | TURLOCK
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State | CA
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Zip | 95382-2706
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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 | PRESIDENT
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Name | DARIN NELLE
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Credential | R.PH.
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Telephone | 209-216-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHA47000
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License Number State | CA
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