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General NPI Number Information
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NPI Number | 1811048069
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Entity Type | Organization
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Legal Business Name | ARCHANA CORPORATION
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 9943 MAINE AVE
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City | LAKESIDE
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State | CA
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Zip | 92040-3107
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Country | US
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Telephone | 619-443-1013
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Fax | 619-443-8517
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Provider Business Mailing Address
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Address Line | 9943 MAINE AVE
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City | LAKESIDE
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State | CA
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Zip | 92040-3107
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Country | US
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Telephone | 619-443-1013
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Fax | 619-443-8517
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMESH RAKHOLIA
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Credential | B. PHARM
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Telephone | 619-287-7697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50422
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License Number State | CA
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