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General NPI Number Information
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NPI Number | 1518072545
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Entity Type | Organization
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Legal Business Name | SAN DIEGO D & M PHARMACIES INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 1105 ROSECRANS ST
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City | SAN DIEGO
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State | CA
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Zip | 92106-2629
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Country | US
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Telephone | 619-223-7171
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Fax | 619-223-9065
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Provider Business Mailing Address
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Address Line | PO BOX 60383
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City | SAN DIEGO
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State | CA
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Zip | 92166-8383
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Country | US
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Telephone | 619-223-7171
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Fax | 619-223-9065
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SAAD
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Credential | DIP PHARM
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Telephone | 619-223-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY37167
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License Number State | CA
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