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General NPI Number Information
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NPI Number | 1548357833
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Entity Type | Organization
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Legal Business Name | SMITH RIKER PHARMACY INC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 610 E ROMIE LN SUITE1
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City | SALINAS
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State | CA
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Zip | 93901-4209
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Country | US
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Telephone | 831-758-0976
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Fax | 831-758-4961
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Provider Business Mailing Address
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Address Line | 610 E ROMIE LN SUITE1
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City | SALINAS
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State | CA
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Zip | 93901-4209
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Country | US
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Telephone | 831-758-0976
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Fax | 831-758-4961
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID MARK SMITH
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Credential | PHARM D
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Telephone | 831-758-0976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PHY466240
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License Number State | CA
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