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General NPI Number Information
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NPI Number | 1386700847
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Entity Type | Organization
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Legal Business Name | SHAYONA PHARMACY INC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 310 N WILMOT RD STE 310
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City | TUCSON
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State | AZ
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Zip | 85711-2618
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Country | US
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Telephone | 520-298-8449
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Fax | 520-298-6150
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Provider Business Mailing Address
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Address Line | 310 N WILMOT RD STE 310
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City | TUCSON
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State | AZ
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Zip | 85711-2618
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Country | US
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Telephone | 520-298-8449
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Fax | 520-298-6150
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Authorized Official
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Title or Position | ASSISTANT MANAGER
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Name | MONICA LLAMAS
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Credential | SR CPHT
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Telephone | 520-298-8449
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y004661
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License Number State | AZ
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