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General NPI Number Information
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NPI Number | 1124989181
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Entity Type | Organization
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Legal Business Name | ARISE PHARMACEUTICAL CORP
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 10364 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-1102
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Country | US
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Telephone | 217-240-2174
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Fax |
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Provider Business Mailing Address
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Address Line | 2857 CAMELLIA CT
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City | CORONA
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State | CA
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Zip | 92882-3640
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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 | PETER WASIF
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Credential |
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Telephone | 217-240-2174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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