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General NPI Number Information
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NPI Number | 1861919938
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Entity Type | Organization
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Legal Business Name | GILL PHARMACY INC. DBA LATHROP PHARMACY
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 273 SPRECKELS AVE, LATHROP PHARMACY SUITE C1
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City | MANTECA
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State | CA
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Zip | 95336
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Country | US
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Telephone | 209-923-4564
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Fax | 209-923-4594
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Provider Business Mailing Address
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Address Line | 2600 MITCHELL ROAD GILL PHARMACY INC. SUITE G
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City | CERES
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State | CA
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Zip | 95307
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Country | US
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Telephone | 209-537-4455
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Fax | 209-537-4456
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Authorized Official
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Title or Position | OWNER
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Name | SIMRIN GILL
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Credential |
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Telephone | 209-537-4455
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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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