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General NPI Number Information
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NPI Number | 1730385949
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Entity Type | Organization
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Legal Business Name | PACIFIC PHARMACY SERVICE INC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 174 S SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6737
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Country | US
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Telephone | 760-327-4881
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Fax | 760-322-1807
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Provider Business Mailing Address
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Address Line | 174 S SUNRISE WAY
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6737
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Country | US
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Telephone | 760-327-4881
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Fax | 760-322-1807
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | SUNG PARK
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Credential | RPH
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Telephone | 760-327-4881
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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 |
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License Number State |
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