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General NPI Number Information
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NPI Number | 1225561046
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Entity Type | Organization
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Legal Business Name | RIDGETOP PHARMACY LLC
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 04/08/2017
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Provider Practice Location Address
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Address Line | 9414 RIDGETOP BLVD NW STE 104
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City | SILVERDALE
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State | WA
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Zip | 98383-8526
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Country | US
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Telephone | 360-633-7066
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Fax | 360-633-7026
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Provider Business Mailing Address
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Address Line | 9414 RIDGETOP BLVD NW STE 104
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City | SILVERDALE
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State | WA
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Zip | 98383-8526
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Country | US
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Telephone | 360-633-7066
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Fax | 360-633-7026
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. INDRAJEETSINH SARVAIYA
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Credential | RPH
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Telephone | 206-319-3468
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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 | PHAR.CF.60738422
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License Number State | WA
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