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General NPI Number Information
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NPI Number | 1912734278
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Entity Type | Organization
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Legal Business Name | PACIFIC PHARMACY PRACTICE
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 5060 CALIFORNIA AVE STE 1090A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0728
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Country | US
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Telephone | 661-888-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 5060 CALIFORNIA AVE STE 1090A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0728
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMD
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Name | KIMBERLY HOFFMANN
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Credential | PHARMD
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Telephone | 661-203-4516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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