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NPI 1013882596

NPI 1013882596 : CHAMPION HEALTH PHARMACY, INC : CERRITOS, CA

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General NPI Number Information
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    NPI Number           |    1013882596
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHAMPION HEALTH PHARMACY, INC 
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Dates
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    Enumeration Date     |    10/06/2025
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    13434 ARTESIA BLVD 
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    City                 |    CERRITOS
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    State                |    CA
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    Zip                  |    90703-8806
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    Country              |    US
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    Telephone            |    562-202-3857
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    Fax                  |    562-202-3858
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Provider Business Mailing Address
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    Address Line         |    13434 ARTESIA BLVD 
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    City                 |    CERRITOS
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    State                |    CA
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    Zip                  |    90703-8806
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    Country              |    US
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    Telephone            |    562-202-3857
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    Fax                  |    562-202-3858
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Authorized Official
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    Title or Position    |    PHARMACIST IN CHARGE/ CEO
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    Name                 |     GRACE  HONG 
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    Credential           |    RPH
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    Telephone            |    714-213-9005
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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 |    
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