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General NPI Number Information
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NPI Number | 1639616600
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Entity Type | Organization
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Legal Business Name | APOTHECO PHARMACY SACRAMENTO LLC
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 9632 EMERALD OAK DR SUITE G
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City | ELK GROVE
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State | CA
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Zip | 95624-2258
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Country | US
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Telephone | 916-509-9834
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Fax | 916-627-1089
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Provider Business Mailing Address
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Address Line | 788 MORRIS TPKE SUITE 300
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 973-869-2820
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Fax | 973-869-2822
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANUSH AMIN
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Credential |
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Telephone | 973-869-2820
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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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55456
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License Number State | CA
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