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General NPI Number Information
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NPI Number | 1336119213
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Entity Type | Organization
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Legal Business Name | NEW SUTTER PROFESSIONAL PHARMACY INC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 2300 SUTTER ST SUITE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3037
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Country | US
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Telephone | 415-567-3223
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Fax | 415-567-2633
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Provider Business Mailing Address
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Address Line | 2300 SUTTER ST SUITE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3037
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Country | US
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Telephone | 415-567-3223
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Fax | 415-567-2633
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | TERRY CHU
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Credential | PHRMD
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Telephone | 916-704-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY48918
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License Number State | CA
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