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General NPI Number Information
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NPI Number | 1467444059
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTHCARE AND PHARMACY INC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 518 W VALLEY BLVD
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City | COLTON
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State | CA
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Zip | 92324-2249
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Country | US
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Telephone | 909-422-0444
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Fax | 909-422-0459
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Provider Business Mailing Address
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Address Line | 518 W VALLEY BLVD
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City | COLTON
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State | CA
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Zip | 92324-2249
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Country | US
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Telephone | 909-422-0444
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Fax | 909-422-0459
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | HEJALIN PATEL
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Credential |
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Telephone | 909-422-0444
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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 | PHY55977
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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 | PHY55977
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55977
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License Number State | CA
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