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General NPI Number Information
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NPI Number | 1598857831
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Entity Type | Organization
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Legal Business Name | DOS CAMINOS PHARMACY INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2412 PONDEROSA DR NORTH SUITE B106
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City | CAMARILLO
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State | CA
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Zip | 93010-4724
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Country | US
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Telephone | 805-484-1059
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Fax | 805-484-1050
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Provider Business Mailing Address
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Address Line | 2412 PONDEROSA DR NORTH SUITE B106
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City | CAMARILLO
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State | CA
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Zip | 93010-4724
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Country | US
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Telephone | 805-484-1059
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Fax | 805-484-1050
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Authorized Official
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Title or Position | OWNER PHARMACIST IN CHARGE
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Name | MR. THOMAS JOSEPH TARANTINO
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Credential | RPH
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Telephone | 805-484-1059
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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 | PHY21839
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License Number State | CA
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