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General NPI Number Information
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NPI Number | 1073973715
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Entity Type | Organization
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Legal Business Name | VETERANS PHARMACY INC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 14105 BURBANK BLVD
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City | VAN NUYS
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State | CA
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Zip | 91401-4908
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Country | US
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Telephone | 818-849-6460
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Fax | 818-849-5882
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Provider Business Mailing Address
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Address Line | 14105 BURBANK BLVD
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City | VAN NUYS
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State | CA
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Zip | 91401-4908
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Country | US
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Telephone | 818-849-6460
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Fax | 818-849-5882
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. SARKIS S. CHILEGEVORKYAN
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Credential |
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Telephone | 818-849-6460
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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 | PHY 54288
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License Number State | CA
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