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General NPI Number Information
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NPI Number | 1528262425
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Entity Type | Organization
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Legal Business Name | SCOLARI'S FOOD & DRUG CO.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 255 SOUTH MCCARRAN BLVD
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City | SPARKS
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State | NV
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Zip | 89431-5809
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Country | US
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Telephone | 775-356-2558
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 SPRING STREET
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City | PASO ROBLES
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State | CA
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Zip | 93446-1455
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Country | US
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Telephone | 805-237-2533
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MR. DAVID CHAN
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Credential | RPH
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY48407
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License Number State | CA
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