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General NPI Number Information
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NPI Number | 1083826135
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Entity Type | Organization
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Legal Business Name | PAI AND CHAN PHARMACY CORP
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 501 E. HARDY ST. #130
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City | INGLEWOOD
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State | CA
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Zip | 90301-4055
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Country | US
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Telephone | 310-671-7636
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Fax | 310-671-0971
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Provider Business Mailing Address
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Address Line | 501 E. HARDY ST. #130
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City | INGLEWOOD
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State | CA
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Zip | 90301-4055
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Country | US
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Telephone | 310-671-7636
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Fax | 310-671-0971
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Authorized Official
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Title or Position | CEO
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Name | JAMES S PAI
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Credential | PHARM.D.
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Telephone | 310-671-7636
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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 | PHY50413
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License Number State | CA
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