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General NPI Number Information
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NPI Number | 1437685872
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Entity Type | Organization
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Legal Business Name | BRIMHALL PHARMACY INC
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 12/22/2017
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Provider Practice Location Address
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Address Line | 8305 BRIMHALL RD SUITE 1603
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-588-5555
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Fax | 661-588-5550
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Provider Business Mailing Address
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Address Line | 8305 BRIMHALL RD SUITE 1603
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-588-5555
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Fax | 661-588-5550
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Authorized Official
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Title or Position | PRESIDENT/ PHARMACIST IN CHARGE
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Name | DR. KAMALJIT SINGH GILL
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Credential | PHARMD
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Telephone | 661-588-5555
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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 | 55458
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License Number State | CA
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