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General NPI Number Information
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NPI Number | 1013024223
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Entity Type | Organization
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Legal Business Name | HYGEIA LTC CORP.
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 9251 GARVEY AVE STE O-U
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-4609
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Country | US
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Telephone | 323-263-4939
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Fax | 213-336-3350
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Provider Business Mailing Address
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Address Line | 9251 GARVEY AVE STE Q
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-4611
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Country | US
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Telephone | 323-263-4939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM GEORGE HASBUN
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Credential | RPH
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Telephone | 323-263-4903
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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 | PHY48217
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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