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General NPI Number Information
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NPI Number | 1508156944
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 16000 MONTEREY RD
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City | MORGAN HILL
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State | CA
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Zip | 95037-5404
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Country | US
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Telephone | 408-778-5184
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Fax | 408-782-6409
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Provider Business Mailing Address
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Address Line | 16000 MONTEREY RD
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City | MORGAN HILL
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State | CA
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Zip | 95037-5404
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Country | US
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Telephone | 408-778-5184
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Fax | 408-782-6409
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | KY-JORDAN QUOC PHAM
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Credential |
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Telephone | 408-778-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 50946
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License Number State | CA
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