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General NPI Number Information
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NPI Number | 1659305951
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Entity Type | Organization
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Legal Business Name | PHARMACIA INC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE SUITE 102
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-756-1800
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Fax | 650-756-1313
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVE SUITE 102
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City | DALY CITY
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State | CA
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Zip | 94015-2227
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Country | US
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Telephone | 650-756-1800
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Fax | 650-756-1313
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Authorized Official
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Title or Position | OWNER/PIC
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Name | DR. RANDALL WILLIAM TONELLI
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Credential | PHARM D
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Telephone | 650-756-1800
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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 | PHY18784
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License Number State | CA
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