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General NPI Number Information
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NPI Number | 1962526145
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA DRUGS,INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-2109
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Country | US
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Telephone | 212-795-4080
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Fax | 212-795-9458
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Provider Business Mailing Address
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Address Line | 120 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-2109
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Country | US
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Telephone | 212-795-4080
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Fax | 212-795-9458
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPHINE M CASTILLO
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Credential | RPH
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Telephone | 212-795-4080
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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 | 008908
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License Number State | NY
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