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General NPI Number Information
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NPI Number | 1750834339
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Entity Type | Organization
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Legal Business Name | BC PHARMACY LLC
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 07/29/2016
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Provider Practice Location Address
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Address Line | 2528 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2013
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Country | US
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Telephone | 661-432-7922
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Fax |
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Provider Business Mailing Address
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Address Line | 2528 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2013
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Country | US
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Telephone | 661-432-7922
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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 | MRS. LEAH DIANE ROGERS
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Credential | RPH
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Telephone | 661-432-7922
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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 | PHY54445
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License Number State | CA
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