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General NPI Number Information
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NPI Number | 1013088244
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Entity Type | Organization
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Legal Business Name | THERESA PHARMACY INC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 7785 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-4025
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Country | US
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Telephone | 714-379-9800
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Fax | 714-379-9802
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Provider Business Mailing Address
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Address Line | 7785 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-4025
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Country | US
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Telephone | 714-379-9800
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Fax | 714-379-9802
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. ELISE NGUYEN
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Credential | RPH.
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Telephone | 714-379-9800
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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 | PHY 49833
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License Number State | CA
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