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General NPI Number Information
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NPI Number | 1518263003
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Entity Type | Organization
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Legal Business Name | AMA PHARMACY INC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 27453 HESPERIAN BLVD
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City | HAYWARD
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State | CA
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Zip | 94545-4258
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Country | US
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Telephone | 510-782-6494
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Fax | 510-782-6459
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Provider Business Mailing Address
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Address Line | 27453 HESPERIAN BLVD
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City | HAYWARD
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State | CA
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Zip | 94545-4258
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Country | US
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Telephone | 510-782-6494
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Fax | 510-782-6459
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Authorized Official
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Title or Position | CEO
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Name | SUNIL PATEL
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Credential |
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Telephone | 408-202-9125
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50539
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License Number State | CA
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