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General NPI Number Information
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NPI Number | 1760366132
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Entity Type | Organization
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Legal Business Name | STANFORD HEALTH CARE
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2522 LEGHORN ST.
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043
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Country | US
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Telephone | 650-736-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 LEGHORN ST.
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043
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Country | US
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Telephone | 650-736-3800
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, PHARMACY SERVIC
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Name | HARI CHANDANA MULAMALLA
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Credential | PHARMD
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Telephone | 312-215-0088
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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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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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