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General NPI Number Information
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NPI Number | 1881011633
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Entity Type | Organization
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Legal Business Name | PJ DRUGSTORE INC DBA DIABLO PHARMACY
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 12677 ALCOSTA BLVD STE 145
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City | SAN RAMON
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State | CA
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Zip | 94583-4423
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Country | US
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Telephone | 925-237-9939
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Fax | 925-237-9938
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Provider Business Mailing Address
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Address Line | 12677 ALCOSTA BLVD STE 145
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City | SAN RAMON
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State | CA
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Zip | 94583-4423
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Country | US
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Telephone | 925-237-9939
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Fax | 925-237-9938
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PARVIZ JAHANGIRIZADEH
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Credential | RPH
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Telephone | 925-324-6521
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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 | PHY51756
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License Number State | CA
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