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General NPI Number Information
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NPI Number | 1932195922
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Entity Type | Organization
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Legal Business Name | C&K EXPRESS, LLC
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 84899 TILLICUM AVE SUITE 7
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City | PLEASANT HILL
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State | OR
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Zip | 97455-9683
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Country | US
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Telephone | 541-746-1333
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Fax | 541-746-0092
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Provider Business Mailing Address
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Address Line | PO BOX 357
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City | MOUNT SHASTA
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State | CA
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Zip | 96067-0357
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Country | US
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Telephone | 530-918-9200
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Fax | 530-918-9100
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Authorized Official
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Title or Position | PRESIDENT RPE, MEMBER
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Name | CHRIS RICHMOND
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Credential | RPH
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Telephone | 530-918-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 002205
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 002205
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License Number State | OR
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