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NPI 1043723869

NPI 1043723869 : NEW HOPE RX PHARMACY, INC : MENIFEE, CA

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General NPI Number Information
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    NPI Number           |    1043723869
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW HOPE RX PHARMACY, INC 
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Dates
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    Enumeration Date     |    11/15/2017
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    Last Update Date     |    07/26/2018
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Provider Practice Location Address
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    Address Line         |    29798 HAUN RD STE 100 
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    City                 |    MENIFEE
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    State                |    CA
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    Zip                  |    92586
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    Country              |    US
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    Telephone            |    951-679-9088
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    Fax                  |    951-679-9990
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Provider Business Mailing Address
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    Address Line         |    29798 HAUN RD STE 100 
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    City                 |    SUN CITY
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    State                |    CA
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    Zip                  |    92586-6541
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    Country              |    US
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    Telephone            |    951-679-9088
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    Fax                  |    951-679-9990
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. VALERIE  NGUYEN 
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    Credential           |    PHARMD
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    Telephone            |    951-679-9088
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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       |    05242
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    License Number State |    CA
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