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General NPI Number Information
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NPI Number | 1285190173
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Entity Type | Organization
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Legal Business Name | PHARMACY WORLD INC
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 1637 THIRD AVE STE A
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City | CHULA VISTA
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State | CA
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Zip | 91911-5823
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Country | US
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Telephone | 619-934-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 1637 THIRD AVE STE A
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City | CHULA VISTA
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State | CA
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Zip | 91911-5823
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Country | US
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Telephone | 619-934-9999
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEONID DAVYDOV
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Credential |
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Telephone | 619-934-9999
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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 |
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License Number State |
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