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General NPI Number Information
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NPI Number | 1215743976
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Entity Type | Organization
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Legal Business Name | ULTIMATE CARE PHARMACY - SOUTH
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Dates
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Enumeration Date | 12/07/2024
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 27349 JEFFERSON AVE STE 207
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City | TEMECULA
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State | CA
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Zip | 92590-5612
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Country | US
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Telephone | 760-298-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 27349 JEFFERSON AVE STE 207
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City | TEMECULA
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State | CA
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Zip | 92590-5612
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Country | US
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Telephone | 760-298-9997
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Fax |
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Authorized Official
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Title or Position | OWNER/RPH
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Name | RAMY S GERGIS
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Credential |
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Telephone | 760-298-9997
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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 |
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License Number State |
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