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General NPI Number Information
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NPI Number | 1649302803
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Entity Type | Organization
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Legal Business Name | BUKER COLSON MEDICINE CHEST
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93703-3845
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Country | US
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Telephone | 559-237-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93703
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Country | US
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Telephone | 559-237-4171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACK ARTHUR RUSTIGAN
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Credential | PHARM. D.
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Telephone | 559-237-4171
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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 | PHY39052
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License Number State | CA
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