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General NPI Number Information
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NPI Number | 1215255666
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Entity Type | Organization
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Legal Business Name | CHOICECARE PHARMACY
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 90 S SPRUCE AVE STE W
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-4555
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Country | US
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Telephone | 650-872-2261
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Fax | 650-872-1069
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Provider Business Mailing Address
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Address Line | 90 S SPRUCE AVE STE W
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-4555
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Country | US
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Telephone | 650-872-2261
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Fax | 650-872-1069
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CAROL MALINIS
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Credential |
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Telephone | 650-872-2261
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50193
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License Number State | CA
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