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General NPI Number Information
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NPI Number | 1114962354
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Entity Type | Organization
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Legal Business Name | PHARMARX PHARMACEUTICAL INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 755 FIERO LN STE I
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7902
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Country | US
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Telephone | 805-541-0783
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Fax | 805-541-0743
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Provider Business Mailing Address
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Address Line | 755 FIERO LN STE I
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAZMIK ABKARIANS
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Credential | PHARMD
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Telephone | 805-541-0783
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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 | PHY46673
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License Number State | CA
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