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General NPI Number Information
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NPI Number | 1003347188
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Entity Type | Organization
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Legal Business Name | ALLENWOOD MEDICAL PHARMACY, INC.
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 9231 W OLYMPIC BLVD SUITE #200
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4658
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Country | US
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Telephone | 310-275-5424
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Fax | 310-275-5428
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Provider Business Mailing Address
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Address Line | PO BOX 10142
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-3142
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Country | US
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Telephone | 310-275-5424
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Fax | 310-275-5428
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MRS. FARIBA KHORSHAD
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Credential | PHARMD.
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Telephone | 310-275-5424
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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 | 54631
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License Number State | CA
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