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General NPI Number Information
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NPI Number | 1033013859
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Entity Type | Organization
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Legal Business Name | NAM PHUONG PHARMACY, INC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 10691 WESTMINSTER AVE # 101
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4911
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Country | US
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Telephone | 714-591-5700
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Fax | 714-591-5701
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Provider Business Mailing Address
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Address Line | 10691 WESTMINSTER AVE # 101
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4911
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Country | US
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Telephone | 714-591-5700
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Fax | 714-591-5701
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Authorized Official
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Title or Position | PHARMACIST- IN-CHARGE
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Name | DAVID LE
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Credential | RPH
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Telephone | 714-591-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | NULL
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