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NPI 1497765804

NPI 1497765804 : SCOLARI'S #507 PHARMACY : SANTA BARBARA, CA

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General NPI Number Information
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    NPI Number           |    1497765804
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCOLARI'S #507 PHARMACY 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    222 N MILPAS ST 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93103-3202
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    Country              |    US
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    Telephone            |    805-963-3769
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    Fax                  |    805-963-9368
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Provider Business Mailing Address
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    Address Line         |    222 N MILPAS ST 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93103-3202
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    Country              |    US
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    Telephone            |    805-963-3769
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    Fax                  |    805-963-9368
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Authorized Official
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    Title or Position    |    PHARMACY INSURANCE ADMINISTRATOR
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    Name                 |    MRS. ANGIE  SHARP 
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    Credential           |    
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    Telephone            |    775-356-2558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    594691
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    License Number State |    CA
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