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General NPI Number Information
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NPI Number | 1396829248
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Entity Type | Organization
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Legal Business Name | ALEXIAN PHARMACY INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 175 N JACKSON AVE SUITE 101
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City | SAN JOSE
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State | CA
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Zip | 95116-1909
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Country | US
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Telephone | 408-347-8330
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Fax | 408-347-8604
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Provider Business Mailing Address
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Address Line | 175 N JACKSON AVE SUITE 101
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City | SAN JOSE
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State | CA
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Zip | 95116-1909
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Country | US
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Telephone | 408-347-8330
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Fax | 408-347-8604
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Authorized Official
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Title or Position | MANAGER
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Name | MR. WILLIAM DO
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Credential |
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Telephone | 408-347-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY46904
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License Number State | CA
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