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General NPI Number Information
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NPI Number | 1083850507
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Entity Type | Organization
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Legal Business Name | WASHINGTON RX INC
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 2487 E WASHINGTON BLVD # F
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City | PASADENA
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State | CA
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Zip | 91104-2047
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Country | US
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Telephone | 626-791-5000
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Fax | 626-791-5010
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Provider Business Mailing Address
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Address Line | 2487 E WASHINGTON BLVD # F
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City | PASADENA
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State | CA
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Zip | 91104-2047
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Country | US
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Telephone | 626-791-5000
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Fax | 626-791-5010
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. STEVE SEPANIAN
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Credential | PHARM D
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Telephone | 626-791-5000
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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 49820
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License Number State | CA
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