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General NPI Number Information
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NPI Number | 1225204977
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL PHARMACY
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 4001 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3626
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Country | US
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Telephone | 916-453-4567
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Fax | 916-453-4686
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Provider Business Mailing Address
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Address Line | 4001 J ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3626
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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 | DIRECTOR OF PHARMACY
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Name | ALLEN SCHAAD
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Credential | RPH
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Telephone | 916-453-4907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HSP30404
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License Number State | CA
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