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General NPI Number Information
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NPI Number | 1124254040
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Entity Type | Organization
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Legal Business Name | UMC PHARMACY INC
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 1201 1/2 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1703
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Country | US
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Telephone | 323-661-2223
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Fax | 323-661-2224
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Provider Business Mailing Address
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Address Line | 1201 1/2 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1703
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Country | US
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Telephone | 323-661-2223
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Fax | 323-661-2224
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | KAREN KHACHATRYAN
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Credential |
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Telephone | 323-661-2223
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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 | PHY49956
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License Number State | CA
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