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General NPI Number Information
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NPI Number | 1093683971
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Entity Type | Organization
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Legal Business Name | OMEKA FARMACIA AND COMPOUNDS LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 2431 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-1660
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Country | US
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Telephone | 909-782-7278
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Fax |
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Provider Business Mailing Address
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Address Line | 10987 DEER CANYON DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-2487
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Country | US
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Telephone | 909-782-7278
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | NGOZI ONUMONU
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Credential |
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Telephone | 909-782-7278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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