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General NPI Number Information
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NPI Number | 1023816741
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Entity Type | Organization
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Legal Business Name | ABC PHARMACY LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 120 OCHSNER BLVD STE 150
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City | GRETNA
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State | LA
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Zip | 70056-5278
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Country | US
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Telephone | 504-393-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 SQUIREWOOD DR E
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City | HARVEY
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State | LA
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Zip | 70058-7490
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Country | US
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Telephone | 504-609-9791
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Fax | 504-391-7336
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Authorized Official
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Title or Position | MANAGER
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Name | LONG THANH BUI
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Credential |
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Telephone | 504-609-9791
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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 |
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License Number State |
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Taxonomy #2
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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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