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General NPI Number Information
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NPI Number | 1083409585
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Entity Type | Organization
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Legal Business Name | BURBANK COMPOUNDING PHARMACY INC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 201 S BUENA VISTA ST STE 110
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City | BURBANK
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State | CA
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Zip | 91505-4570
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Country | US
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Telephone | 818-563-2120
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Fax | 818-563-2130
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Provider Business Mailing Address
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Address Line | 201 S BUENA VISTA ST STE 110
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City | BURBANK
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State | CA
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Zip | 91505-4570
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Country | US
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Telephone | 818-563-2120
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Fax | 818-563-2130
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Authorized Official
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Title or Position | SECRETARY/PIC
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Name | DR. TRINH T LAM
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Credential | PHARM D
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Telephone | 818-563-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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