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General NPI Number Information
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NPI Number | 1851463657
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Entity Type | Organization
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Legal Business Name | RELIANCE CASTLE PHARMACY LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 3605 HOSPITAL ROAD SUITE D
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City | ATWATER
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State | CA
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Zip | 95301-5173
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Country | US
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Telephone | 209-723-1888
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Fax | 209-723-1858
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Provider Business Mailing Address
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Address Line | 3605 HOSPITAL ROAD SUITE D
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City | ATWATER
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State | CA
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Zip | 95301-5173
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Country | US
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Telephone | 209-723-1888
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Fax | 209-723-1858
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MS. NEELMIA VANGA
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Credential |
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Telephone | 209-723-1888
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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 | PHY 50666
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License Number State | CA
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