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General NPI Number Information
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NPI Number | 1740326784
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Entity Type | Organization
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Legal Business Name | MOWRY MEDICAL PHARMACY, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 1999 MOWRY AVE SUITE 2A
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City | FREMONT
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State | CA
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Zip | 94538-1738
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Country | US
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Telephone | 510-793-5011
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Fax | 510-792-9599
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Provider Business Mailing Address
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Address Line | 1999 MOWRY AVE SUITE 2A
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City | FREMONT
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State | CA
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Zip | 94538-1738
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Country | US
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Telephone | 510-793-5011
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Fax | 510-792-9599
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Authorized Official
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Title or Position | CEO
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Name | JASMINE BASRAI
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Credential |
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Telephone | 510-793-5011
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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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