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General NPI Number Information
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NPI Number | 1487451860
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Entity Type | Organization
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Legal Business Name | PEARSONS MEDICAL GROUP PHARMACY
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1700 N WATERMAN AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5115
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Country | US
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Telephone | 909-883-3088
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Fax | 909-881-2208
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Provider Business Mailing Address
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Address Line | 1700 N WATERMAN AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5115
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Country | US
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Telephone | 909-883-3088
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Fax | 909-881-2208
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA ESMERALDA DOWNS
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Credential | PHARMD
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Telephone | 909-883-3088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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