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General NPI Number Information
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NPI Number | 1336285956
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Entity Type | Organization
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Legal Business Name | ROLLING OAKS PHARMACY INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 325 E ROLLING OAKS DR #140A
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1077
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Country | US
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Telephone | 805-557-1006
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Fax | 805-557-1706
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Provider Business Mailing Address
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Address Line | 325 E ROLLING OAKS DR #140A
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1077
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Country | US
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Telephone | 805-557-1006
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Fax | 805-557-1706
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Authorized Official
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Title or Position | PRES / CEO
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Name | AMAL ZEIN
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Credential | RPH MHA
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Telephone | 805-557-1006
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHY46918
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License Number State | CA
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