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General NPI Number Information
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NPI Number | 1205856762
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Entity Type | Organization
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Legal Business Name | PARNASSUS HEIGHTS PHARMACY
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 PARNASSUS AVE STE 100
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3608
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Country | US
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Telephone | 415-564-9191
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Fax | 415-566-9751
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Provider Business Mailing Address
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Address Line | 350 PARNASSUS AVE STE 100
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3608
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Country | US
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Telephone | 415-564-9191
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Fax | 415-566-9751
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | ROBERT DUDUM
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Credential |
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Telephone | 415-564-9191
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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 | PHY46641
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License Number State | CA
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