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General NPI Number Information
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NPI Number | 1043346190
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Entity Type | Organization
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Legal Business Name | BRIAN PHARMACY INC.
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 4444 EL CAJON BLVD STE 9
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City | SAN DIEGO
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State | CA
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Zip | 92115-4392
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Country | US
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Telephone | 619-563-9917
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Fax | 619-563-2097
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Provider Business Mailing Address
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Address Line | 4444 EL CAJON BLVD STE 8
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City | SAN DIEGO
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State | CA
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Zip | 92115-4392
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Country | US
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Telephone | 619-563-9917
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Fax | 619-563-2097
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Authorized Official
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Title or Position | PHARMACIST
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Name | KIEU DANG
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Credential |
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Telephone | 619-563-9917
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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 | PHY54236
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License Number State | CA
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