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General NPI Number Information
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NPI Number | 1689125403
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Entity Type | Organization
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Legal Business Name | XPRESS CARE PHARMACY
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 01/30/2022
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Provider Practice Location Address
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Address Line | 4241 FLORIN RD STE 50A
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City | SACRAMENTO
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State | CA
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Zip | 95823-2535
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Country | US
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Telephone | 916-706-2400
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Fax | 916-706-2346
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Provider Business Mailing Address
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Address Line | 4241 FLORIN RD STE 50A
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City | SACRAMENTO
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State | CA
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Zip | 95823-2535
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Country | US
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Telephone | 916-706-2400
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Fax | 916-706-2346
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | PRABHDEEP SINGH SIDHU
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Credential | RPH
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Telephone | 916-706-2400
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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 | 54640
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License Number State | CA
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