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General NPI Number Information
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NPI Number | 1104436542
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Entity Type | Organization
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Legal Business Name | GUADALUPE PHARMACY INC
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 16444 PARAMOUNT BLVD STE 101
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City | PARAMOUNT
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State | CA
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Zip | 90723-5453
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Country | US
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Telephone | 562-232-3732
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Fax | 562-232-3651
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Provider Business Mailing Address
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Address Line | 16444 PARAMOUNT BLVD STE 101
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City | PARAMOUNT
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State | CA
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Zip | 90723-5453
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Country | US
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Telephone | 562-232-3732
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Fax | 562-232-3651
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL SOLIMAN
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Credential | RPH
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Telephone | 562-630-1620
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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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