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General NPI Number Information
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NPI Number | 1154790194
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Entity Type | Individual
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Provider Name | REMIGIUS MGBOJIRIKWE R.PH, PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 1704 W. MANCHESTER BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90047-3056
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Country | US
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Telephone | 323-753-1333
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Fax | 323-753-1335
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Provider Business Mailing Address
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Address Line | 3627 MANHATTAN BEACH BLVD
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City | LAWNDALE
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State | CA
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Zip | 90260-2410
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Country | US
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Telephone | 310-403-1693
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH 43754
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License Number State | CA
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