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General NPI Number Information
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NPI Number | 1932443116
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Entity Type | Organization
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Legal Business Name | R&O PHARMACY LLC
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Dates
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Enumeration Date | 11/12/2012
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 651 VIA ALONDRA # 'S 708 AND 709
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City | CAMARILLO
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State | CA
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Zip | 93012-8097
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Country | US
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Telephone | 805-319-7260
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Fax | 805-987-7285
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Provider Business Mailing Address
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Address Line | 651 VIA ALONDRA # 'S 708 AND 709
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City | CAMARILLO
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State | CA
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Zip | 93012-8097
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Country | US
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Telephone | 855-557-2683
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Fax | 805-987-7280
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT OSBAKKEN
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Credential |
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Telephone | 855-557-2683
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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 | PHY51259
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License Number State | CA
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