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General NPI Number Information
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NPI Number | 1972551687
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Entity Type | Organization
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Legal Business Name | SPECIALTY PHARMACIES, INC.
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 191 GOLDEN GATE AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3809
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Country | US
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Telephone | 415-255-0516
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Fax | 415-255-0937
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Provider Business Mailing Address
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Address Line | 191 GOLDEN GATE AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3809
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Country | US
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Telephone | 415-255-0516
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Fax | 415-255-0937
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT AND TREASURER
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Name | RUSSELL J. FICHERA
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Credential |
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Telephone | 508-297-1018
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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 | PHY 50167
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License Number State | CA
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