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General NPI Number Information
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NPI Number | 1326365230
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Entity Type | Organization
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Legal Business Name | SKYLINE RX INC
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Dates
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Enumeration Date | 05/02/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 300 S A ST #100
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City | OXNARD
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State | CA
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Zip | 93030-5822
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Country | US
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Telephone | 805-322-6923
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Fax | 805-322-6924
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Provider Business Mailing Address
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Address Line | 300 S A ST #100
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City | OXNARD
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State | CA
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Zip | 93030-5822
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Country | US
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Telephone | 805-322-6923
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Fax | 805-322-6924
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | MR. SENG KEY TAING
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Credential | PHARMACIST
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Telephone | 805-322-6923
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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 | PHY 50294
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PHY 50294
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY 50294
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License Number State | CA
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