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General NPI Number Information
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NPI Number | 1043711088
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Entity Type | Organization
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Legal Business Name | DIRECT RX PHARMACY INC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 23275 S POINTE DR STE 130
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1474
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Country | US
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Telephone | 949-281-7455
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Fax | 949-276-3002
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Provider Business Mailing Address
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Address Line | 23275 S POINTE DR STE 130
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1474
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Country | US
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Telephone | 949-281-7455
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Fax | 949-276-3003
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Authorized Official
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Title or Position | OWNER
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Name | QUOC HA
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Credential |
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Telephone | 949-200-6619
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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 | PHY55858
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License Number State | CA
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