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General NPI Number Information
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NPI Number | 1477703825
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Entity Type | Organization
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Legal Business Name | A1C RX INC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 3125 TIGER RUN CT STE B107
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City | CARLSBAD
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State | CA
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Zip | 92010-6649
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Country | US
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Telephone | 888-692-1279
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Fax | 760-650-3591
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Provider Business Mailing Address
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Address Line | 3125 TIGER RUN CT STE B107
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City | CARLSBAD
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State | CA
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Zip | 92010-6649
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL BOSSE
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Credential |
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Telephone | 888-692-1279
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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 | 49220
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License Number State | CA
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