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General NPI Number Information
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NPI Number | 1013301308
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Entity Type | Organization
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Legal Business Name | DRAGON PHARMACY CORP
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 5839 WESTMINSTER BLVD #A
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City | WESTMINSTER
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State | CA
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Zip | 92683-9107
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Country | US
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Telephone | 714-927-7871
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Fax | 714-927-7840
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Provider Business Mailing Address
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Address Line | 5839 WESTMINSTER BLVD #A
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City | WESTMINSTER
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State | CA
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Zip | 92683-9107
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Country | US
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Telephone | 714-927-7871
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Fax | 714-927-7840
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MS. TIFFANY D LE
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Credential | PHARM D
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Telephone | 714-927-7871
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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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