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General NPI Number Information
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NPI Number | 1316790173
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Entity Type | Organization
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Legal Business Name | S4 PHARMACY INC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 3130 ALUM ROCK AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95127-2901
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Country | US
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Telephone | 408-929-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 ALUM ROCK AVE STE A
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City | SAN JOSE
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State | CA
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Zip | 95127-2901
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Country | US
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Telephone | 408-393-6938
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHARMACY MANAGER
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Name | SHALINI MUPPALANENI
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Credential | RPH
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Telephone | 408-929-2210
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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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