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General NPI Number Information
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NPI Number | 1730743386
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Entity Type | Organization
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Legal Business Name | MEXICARE PHARMACY INC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 9670 MAGNOLIA AVE STE 107
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City | RIVERSIDE
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State | CA
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Zip | 92503-3684
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Country | US
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Telephone | 347-658-4230
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Fax |
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Provider Business Mailing Address
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Address Line | 9670 MAGNOLIA AVE STE 107
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City | RIVERSIDE
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State | CA
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Zip | 92503-3684
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Country | US
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Telephone | 347-658-4230
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. MAYUR YADAV
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Credential | PHARMD
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Telephone | 951-588-6727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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