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General NPI Number Information
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NPI Number | 1659521466
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Entity Type | Organization
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Legal Business Name | FARMACIA REMEDIOS INC
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 3720 W MCFADDEN AVE
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City | SANTA ANA
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State | CA
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Zip | 92704-1332
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Country | US
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Telephone | 714-531-9600
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Fax | 714-531-9601
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Provider Business Mailing Address
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Address Line | 3720 W MCFADDEN AVE
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City | SANTA ANA
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State | CA
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Zip | 92704-1332
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Country | US
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Telephone | 714-531-9600
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Fax | 714-531-9601
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | GREGORY TERTES
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Credential |
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Telephone | 510-710-3640
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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 | 49225
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License Number State | CA
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