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General NPI Number Information
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NPI Number | 1053054296
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Entity Type | Organization
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Legal Business Name | APPLE SPECIALTY PHARMACY, LLC
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1211 N. BROADWAY STE. 300
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City | SANTA ANA
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State | CA
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Zip | 92701
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Country | US
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Telephone | 818-456-0481
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Fax | 530-698-0991
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Provider Business Mailing Address
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Address Line | 1211 N. BROADWAY STE. 300
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City | SANTA ANA
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State | CA
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Zip | 92701
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Country | US
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Telephone | 818-456-0481
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Fax | 530-698-0991
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHAHROKH SHAWN AHOUBIM
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Credential |
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Telephone | 818-456-0481
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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 |
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License Number State |
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Taxonomy #2
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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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