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General NPI Number Information
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NPI Number | 1174334890
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Entity Type | Organization
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Legal Business Name | AMBAR LTC PHARMACY, INC.
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 281 E ROWLAND ST
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City | COVINA
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State | CA
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Zip | 91723-3149
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Country | US
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Telephone | 866-994-1218
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Fax |
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Provider Business Mailing Address
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Address Line | 281 E ROWLAND ST
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City | COVINA
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State | CA
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Zip | 91723-3149
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Country | US
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Telephone | 866-994-1218
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Fax |
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Authorized Official
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Title or Position | CEO/CFO/SEC
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Name | AMBAREEN MASOOD
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Credential |
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Telephone | 866-994-1218
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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