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General NPI Number Information
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NPI Number | 1467658385
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Entity Type | Organization
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Legal Business Name | RIVERSIDE COUNTY RUBIDOUX PHARMACY
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5256 MISSION AVE
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City | RUBIDOUX
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State | CA
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Zip | 92509
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Country | US
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Telephone | 951-955-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 5256 MISSION AVE
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City | RUBIDOUX
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State | CA
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Zip | 92509
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Country | US
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Telephone | 951-955-2755
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. JAHANGIR SHAMS-ZAFFARGHANDI
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Credential | PHARM.D
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Telephone | 951-955-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 48541
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License Number State | CA
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