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General NPI Number Information
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NPI Number | 1518423631
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Entity Type | Organization
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Legal Business Name | GILL PHARMACY INC
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 12648 BENTLEY ST
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City | WATERFORD
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State | CA
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Zip | 95386-9009
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Country | US
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Telephone | 209-537-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 MITCHELL RD STE G
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City | CERES
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State | CA
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Zip | 95307-9466
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Country | US
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Telephone | 209-537-4455
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SIMRIN GILL
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Credential |
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Telephone | 209-537-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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