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General NPI Number Information
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NPI Number | 1598808271
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Entity Type | Organization
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Legal Business Name | CAYUCOS PHARMACY, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 72 S OCEAN AVE
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City | CAYUCOS
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State | CA
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Zip | 93430-1646
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Country | US
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Telephone | 805-995-3538
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Fax | 805-995-1273
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Provider Business Mailing Address
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Address Line | 72 S OCEAN AVE
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City | CAYUCOS
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State | CA
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Zip | 93430-1646
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Country | US
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Telephone | 805-995-3538
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Fax | 805-995-1273
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Authorized Official
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Title or Position | BUSINESS OPERATIONS
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Name | ANGELA FLORES
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Credential |
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Telephone | 805-995-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | PHY-54172
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License Number State | CA
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