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General NPI Number Information
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NPI Number | 1992287981
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Entity Type | Organization
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Legal Business Name | SAV-ON DRUG STORES INC
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 944 GLENNEYRE ST
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-2717
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Country | US
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Telephone | 949-494-6585
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Fax | 949-497-8679
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Provider Business Mailing Address
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Address Line | 944 GLENNEYRE ST
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-2717
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Country | US
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Telephone | 949-494-6585
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Fax | 949-497-8679
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Authorized Official
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Title or Position | OWNER / PIC
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Name | AMANDA TA
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Credential |
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Telephone | 949-494-6585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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