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General NPI Number Information
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NPI Number | 1043356488
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH SOLUTIONS PHARMACY, INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 3463 OVERLAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-5419
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Country | US
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Telephone | 310-838-7422
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Fax | 310-838-7423
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Provider Business Mailing Address
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Address Line | 3463 OVERLAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-5419
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Country | US
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Telephone | 310-838-7422
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Fax | 310-838-7423
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. DAVID MOHABER
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Credential | PHARM D
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Telephone | 310-838-7422
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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 | PHY45259
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License Number State | CA
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