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General NPI Number Information
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NPI Number | 1023375151
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Entity Type | Organization
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Legal Business Name | ART OF PHARMACY INC
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 731 1/2 N LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90038-3338
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Country | US
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Telephone | 323-937-7892
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Fax |
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Provider Business Mailing Address
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Address Line | 731 1/2 N LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90038-3338
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Country | US
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Telephone | 323-937-7892
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL IMANOEL
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Credential |
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Telephone | 323-937-7892
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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 | 50923
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License Number State | CA
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