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1912243023
KENNETH MERCADO
SANTA ROSA, CA
NPI
1912243023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 54879)
Enumeration Date
2012-12-17
Last Update Date
2012-12-17
Business Address
-- KENNETH MERCADO RPh
100 CALISTOGA RD
SANTA ROSA, CA 95409-3702
Phone number: 707-539-1711
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Mailing Address
-- KENNETH MERCADO RPh
1231 JANET WAY
SANTA ROSA, CA 95405-7205
Phone number: 707-290-9919
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