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General NPI Number Information
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NPI Number | 1285983007
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Entity Type | Organization
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Legal Business Name | SUN CITY PHARMACY INC
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 9133 W THUNDERBIRD RD STE 101
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City | PEORIA
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State | AZ
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Zip | 85381-4269
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Country | US
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Telephone | 623-322-6664
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Fax | 623-322-6668
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Provider Business Mailing Address
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Address Line | 9133 W THUNDERBIRD RD STE 101
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City | PEORIA
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State | AZ
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Zip | 85381-4269
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Country | US
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Telephone | 623-322-6664
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Fax | 623-322-6668
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MOHAMED HASSANEIN-ELEMBABI
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Credential |
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Telephone | 623-760-5572
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y005538
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License Number State | AZ
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