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General NPI Number Information
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NPI Number | 1790538387
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Entity Type | Organization
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Legal Business Name | CHME PHARMACY LLC
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1101B CHESS DR
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City | FOSTER CITY
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State | CA
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Zip | 94404-1102
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Country | US
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Telephone | 650-503-6374
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Fax | 650-240-3907
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Provider Business Mailing Address
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Address Line | 1101B CHESS DR
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City | FOSTER CITY
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State | CA
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Zip | 94404-1102
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Country | US
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Telephone | 650-503-6374
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Fax | 650-240-3907
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BERNARD F ZIMMER
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Credential |
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Telephone | 650-931-8710
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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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