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General NPI Number Information
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NPI Number | 1831258326
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Entity Type | Organization
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Legal Business Name | HORSNYDER PHARMACY INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1226A SOQUEL AVENUE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-2157
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Country | US
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Telephone | 831-423-2315
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Fax | 831-423-2320
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Provider Business Mailing Address
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Address Line | 1226A SOQUEL AVENUE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-2157
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Country | US
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Telephone | 831-423-2315
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Fax | 831-423-2320
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRISTINE C QUESENBERRY
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Credential | R.PH.
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Telephone | 831-423-2315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | PHY326170
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 51860
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License Number State | CA
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