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General NPI Number Information
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NPI Number | 1801170121
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Entity Type | Organization
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Legal Business Name | ARLINGTON INPATIENT TREATMENT FACILITY PHARMACY
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 9990 COUNTY FARM RD SUITE #2 / DEPT. OF PHARMACY SERVICE - C. SCHAFFLER
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City | RIVERSIDE
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State | CA
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Zip | 92503-3542
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Country | US
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Telephone | 951-358-4746
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Fax | 951-358-4626
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Provider Business Mailing Address
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Address Line | 9990 COUNTY FARM ROAD SUITE #2 / DEPT. OF PHARMACY SERVICE - C. SCHAFFLER
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-358-4746
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Fax | 951-358-4626
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MS. MELISSA MARIE MITCHELL
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Credential | PHARMD
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Telephone | 951-358-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 250000195
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License Number State | CA
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