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General NPI Number Information
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NPI Number | 1306175823
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Entity Type | Organization
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Legal Business Name | EXPRESS SERVICE PHARMACY INC
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 102 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-3203
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Country | US
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Telephone | 661-325-2500
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Fax | 661-325-2828
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Provider Business Mailing Address
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Address Line | 102 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-3203
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Country | US
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Telephone | 661-325-2500
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Fax | 661-325-2828
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Authorized Official
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Title or Position | OWNER / COORDINATOR
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Name | ISKANDER HUSSEIN
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Credential |
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Telephone | 661-746-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY50150
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License Number State | CA
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