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General NPI Number Information
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NPI Number | 1114470192
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Entity Type | Organization
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Legal Business Name | YORK DISCOUNT PHARMACY INC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 5821 YORK BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90042-2634
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Country | US
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Telephone | 323-302-8090
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Fax | 323-544-4333
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Provider Business Mailing Address
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Address Line | 5821 YORK BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90042-2634
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Country | US
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Telephone | 323-302-8090
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Fax | 323-544-4333
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Authorized Official
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Title or Position | PHARMACIST/CEO/PHARMACIST IN CHARGE
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Name | MRS. LUSINE DISHIGRIKYAN
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Credential | PHARM D
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Telephone | 323-302-8090
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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 | 54525
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License Number State | CA
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