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General NPI Number Information
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NPI Number | 1295484863
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Entity Type | Organization
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Legal Business Name | ULTIMATE CARE PHARMACY
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 02/17/2024
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Provider Practice Location Address
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Address Line | 11741 STERLING AVE STE D2
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City | RIVERSIDE
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State | CA
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Zip | 92503-4954
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Country | US
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Telephone | 909-904-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 2095 HIGHPOINTE DR APT 212
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City | CORONA
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State | CA
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Zip | 92879-5957
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Country | US
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Telephone | 909-904-1572
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL M HABASHY
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Credential | RPH
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Telephone | 909-904-1572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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