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General NPI Number Information
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NPI Number | 1023010725
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Entity Type | Organization
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Legal Business Name | KING PHARMACY CORPORATION
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 2707 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90023-1441
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Country | US
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Telephone | 323-262-8845
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Fax | 323-262-8841
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Provider Business Mailing Address
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Address Line | 2707 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90023-1441
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Country | US
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Telephone | 323-262-8845
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Fax | 323-262-8841
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MRS. UDING YULINTA
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Credential | R.PH.
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Telephone | 323-262-8845
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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 | PHY45679
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License Number State | CA
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