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General NPI Number Information
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NPI Number | 1598192395
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Entity Type | Organization
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Legal Business Name | ORDWAY PHARMACY
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 499 ALVARADO ST
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City | MONTEREY
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State | CA
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Zip | 93940-2739
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Country | US
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Telephone | 831-372-8085
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Fax |
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Provider Business Mailing Address
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Address Line | 2256 CAPITOLA RD APT D
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City | SANTA CRUZ
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State | CA
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Zip | 95062-3144
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Country | US
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Telephone | 508-463-6699
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Fax |
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Authorized Official
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Title or Position | PHAMACIST
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Name | DR. MICHEL TREMBLAY
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Credential | PHARMD
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Telephone | 508-463-6699
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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 | 63942
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License Number State | CA
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