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General NPI Number Information
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NPI Number | 1962100057
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Entity Type | Organization
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Legal Business Name | SANTA FE FAMILY PHARMACY
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 977 S SANTA FE AVE STE 9
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City | VISTA
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State | CA
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Zip | 92083-6911
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Country | US
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Telephone | 760-536-3571
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Fax | 760-536-3561
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Provider Business Mailing Address
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Address Line | 977 S SANTA FE AVE STE 9
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City | VISTA
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State | CA
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Zip | 92083-6911
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Country | US
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Telephone | 760-536-3571
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/PHARMACIST
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Name | DR. DANIEL DE ROBLES
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Credential | PHARMD
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Telephone | 760-277-1974
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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 |
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License Number State |
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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 |
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License Number State |
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