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General NPI Number Information
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NPI Number | 1114307923
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Entity Type | Organization
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Legal Business Name | INJOY RX, LLC
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 14676 PIPELINE AVE STE M
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City | CHINO HILLS
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State | CA
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Zip | 91709-1918
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Country | US
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Telephone | 909-597-9500
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Fax | 909-597-0189
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Provider Business Mailing Address
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Address Line | 14676 PIPELINE AVE STE M
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City | CHINO HILLS
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State | CA
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Zip | 91709-1909
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Country | US
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Telephone | 909-597-9500
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Fax | 909-597-0189
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL LEE
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Credential |
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Telephone | 909-597-9500
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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 | PHY55773
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License Number State | CA
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