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General NPI Number Information
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NPI Number | 1437242831
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Entity Type | Organization
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Legal Business Name | THOUSAND CRANES PHARMACY INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1832 BUCHANAN ST #203
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3252
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Country | US
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Telephone | 415-409-4357
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Fax | 415-409-4355
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Provider Business Mailing Address
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Address Line | 1832 BUCHANAN ST #203
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3252
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Country | US
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Telephone | 415-409-4357
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Fax | 415-409-4355
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | DR. BRIAN TOSHIRO MATSUNO
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Credential | PHARM.D.
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Telephone | 415-409-4357
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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