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General NPI Number Information
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NPI Number | 1396740494
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Entity Type | Organization
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Legal Business Name | UNITED CARE PHARMACY , LLC
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 2700 INTERNATIONAL BLVD # A
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City | OAKLAND
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State | CA
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Zip | 94601-1520
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Country | US
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Telephone | 510-532-1762
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Fax | 510-536-2016
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Provider Business Mailing Address
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Address Line | 2700 INTERNATIONAL BLVD # A
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City | OAKLAND
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State | CA
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Zip | 94601-1520
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Country | US
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Telephone | 510-532-1762
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Fax | 510-536-2016
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOLLY JOHNSON FRIAR
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Credential |
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Telephone | 510-532-1762
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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 | PHY49087
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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 | PHY49087
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License Number State | CA
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