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General NPI Number Information
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NPI Number | 1558363028
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Entity Type | Organization
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Legal Business Name | TOWN CENTER PHARMACY
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 535 W ACEQUIA AVE
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City | VISALIA
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State | CA
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Zip | 93291-6131
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Country | US
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Telephone | 559-734-5893
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Fax | 559-734-5966
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Provider Business Mailing Address
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Address Line | 535 W ACEQUIA AVE
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City | VISALIA
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State | CA
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Zip | 93291-6131
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Country | US
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Telephone | 559-734-5893
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Fax | 559-734-5966
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. DENNIS GENE VERMILLION
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Credential | PHARM.D.
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Telephone | 559-734-5893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY44492
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | PHY44492
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PHY44492
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | PHY44492
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY44492
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY44492
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License Number State | CA
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