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General NPI Number Information
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NPI Number | 1245873991
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Entity Type | Organization
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Legal Business Name | EXPRESS DRUGS
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 9902 BRIMHALL RD # 100
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2801
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Country | US
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Telephone | 661-829-7861
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9699
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City | BAKERSFIELD
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State | CA
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Zip | 93389-9699
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Country | US
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Telephone | 661-829-7861
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Fax |
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | AMANDA NESHEIWAT
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Credential |
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Telephone | 661-829-7861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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