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General NPI Number Information
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NPI Number | 1720153133
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Entity Type | Organization
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Legal Business Name | SCV PHARMACEUTICALS INC.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1211 MERIDIAN AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-5210
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Country | US
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Telephone | 408-266-7000
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Fax | 408-266-1614
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Provider Business Mailing Address
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Address Line | 1211 MERIDIAN AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-5210
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Country | US
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Telephone | 408-266-7000
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Fax | 408-266-1614
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. ALEXANDER FREDERICK DEMETRO
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Credential | PHARM.D.
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Telephone | 408-266-7000
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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 | SRGH 26-102774
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License Number State | CA
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