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General NPI Number Information
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NPI Number | 1982785010
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Entity Type | Organization
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Legal Business Name | PHARMKEE, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 21890 COLORADO AVENUE SUITE A
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City | SAN JOAQUIN
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State | CA
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Zip | 93660
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Country | US
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Telephone | 559-693-4339
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Fax | 559-693-1080
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Provider Business Mailing Address
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Address Line | PO BOX 782 21890 COLORADO AVE, SUITE A
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City | SAN JOAQUIN
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State | CA
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Zip | 93660-0782
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Country | US
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Telephone | 559-693-4339
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Fax | 559-693-1080
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DOUGLAS K WILCOX
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Credential | PHARM.D.
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Telephone | 559-693-4339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY38015
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License Number State | CA
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