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General NPI Number Information
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NPI Number | 1346642139
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Entity Type | Organization
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Legal Business Name | PHARMERICA
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 1949 CASABLANCA ST
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City | DANVILLE
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State | CA
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Zip | 94506-4807
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Country | US
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Telephone | 510-761-6311
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 CASABLANCA ST
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City | DANVILLE
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State | CA
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Zip | 94506-4807
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Country | US
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Telephone | 510-761-6311
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Fax |
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Authorized Official
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Title or Position | CONSULTANT PHARMACIST
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Name | DR. JAMES CHIN
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Credential | PHARMD
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Telephone | 510-761-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 31252
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License Number State | CA
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