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General NPI Number Information
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NPI Number | 1902775109
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Entity Type | Organization
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Legal Business Name | SIERRA VISTA PHARMACY, INC.
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 650 E VISALIA RD
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City | FARMERSVILLE
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State | CA
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Zip | 93223-1641
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Country | US
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Telephone | 559-594-8602
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Fax | 559-594-8604
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Provider Business Mailing Address
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Address Line | 650 E VISALIA RD
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City | FARMERSVILLE
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State | CA
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Zip | 93223-1641
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Country | US
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Telephone | 559-594-8602
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Fax | 559-594-8604
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Authorized Official
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Title or Position | CEO
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Name | FEBY SALEM
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Credential | RPH
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Telephone | 559-594-8602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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