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General NPI Number Information
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NPI Number | 1043685928
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Entity Type | Organization
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Legal Business Name | PHARMAHERBIA, INC.
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 22330 SHERMAN WAY SUITE C3
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City | CANOGA PARK
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State | CA
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Zip | 91303-1056
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Country | US
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Telephone | 818-348-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 22330 SHERMAN WAY SUITE C3
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City | CANOGA PARK
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State | CA
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Zip | 91303-1056
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Country | US
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Telephone | 818-348-6600
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. ZIBA LAED
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Credential | RPH
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Telephone | 818-348-6600
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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 | 37065
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License Number State | CA
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