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General NPI Number Information
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NPI Number | 1598707135
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Entity Type | Organization
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Legal Business Name | THE SHORE APOTHECARIE
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 4814 E 2ND ST
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City | LONG BEACH
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State | CA
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Zip | 90803-5312
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Country | US
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Telephone | 562-439-4449
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Fax | 562-439-4419
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Provider Business Mailing Address
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Address Line | 4814 E 2ND ST
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City | LONG BEACH
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State | CA
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Zip | 90803-5312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER HEAD PHARMACIST
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Name | CYNTHIA SEWARK
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Credential | PHARM D
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Telephone | 562-439-4444
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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 | PHY462821
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License Number State | CA
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