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General NPI Number Information
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NPI Number | 1346594736
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Entity Type | Organization
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Legal Business Name | EXPRESS DRUGS
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 3400 CALLOWAY DR SUIT 302
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2513
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Country | US
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Telephone | 661-829-7870
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Fax | 661-829-7873
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Provider Business Mailing Address
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Address Line | PO BOX 9699
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City | BAKERSFIELD
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State | CA
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Zip | 93389-9699
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Country | US
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Telephone | 661-829-7870
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Fax | 661-829-7873
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Authorized Official
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Title or Position | PIC/CEO
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Name | RAMY EBEID
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Credential |
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Telephone | 661-829-7870
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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 | 51085
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 51085
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 51085
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 51085
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License Number State | CA
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