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General NPI Number Information
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NPI Number | 1013901065
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Entity Type | Organization
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Legal Business Name | CHOICE RX INC
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 1425 E LINCOLN AVE SUITE B
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City | ANAHEIM
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State | CA
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Zip | 92805-2209
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Country | US
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Telephone | 714-776-1020
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Fax | 714-776-7053
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Provider Business Mailing Address
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Address Line | 1425 E LINCOLN AVE STE B
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City | ANAHEIM
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State | CA
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Zip | 92805-2257
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Country | US
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Telephone | 714-776-1020
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Fax | 714-776-7053
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MR. ERLANDY Y VILLARAMA
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Credential |
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Telephone | 714-776-1020
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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 | PHY55627
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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 | PHY55627
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License Number State | CA
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