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General NPI Number Information
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NPI Number | 1558468397
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Entity Type | Organization
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Legal Business Name | HS PHARMACY INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 4248 MACARTHUR BLVD
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City | OAKLAND
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State | CA
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Zip | 94619-1908
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Country | US
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Telephone | 510-530-1335
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Fax | 510-531-8902
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Provider Business Mailing Address
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Address Line | 4248 MACARTHUR BLVD
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City | OAKLAND
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State | CA
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Zip | 94619-1908
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Country | US
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Telephone | 510-530-1335
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Fax | 510-531-8902
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Authorized Official
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Title or Position | OWNER AND PIC
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Name | GAREEN AVAKION
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Credential | RPH
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Telephone | 510-530-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY48720
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License Number State | CA
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