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General NPI Number Information
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NPI Number | 1558456988
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Entity Type | Organization
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Legal Business Name | ROMIE LANE PHARMACY, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 505 E ROMIE LN
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City | SALINAS
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State | CA
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Zip | 93901-4031
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Country | US
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Telephone | 831-424-0395
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Fax | 831-424-7949
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Provider Business Mailing Address
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Address Line | 505 E ROMIE LN
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City | SALINAS
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State | CA
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Zip | 93901-4031
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Country | US
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Telephone | 831-424-0395
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Fax | 831-424-7949
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | RUSSELL JOHN OSTARELLO
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Credential | PHARMD
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Telephone | 831-424-0395
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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 | PHY45642
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License Number State | CA
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