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General NPI Number Information
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NPI Number | 1174665244
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Entity Type | Organization
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Legal Business Name | ES RX INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 6339 ATLANTIC AVE
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City | BELL
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State | CA
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Zip | 90201-1254
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Country | US
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Telephone | 323-773-4122
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Fax | 323-773-4773
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Provider Business Mailing Address
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Address Line | 6339 ATLANTIC AVE
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City | BELL
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State | CA
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Zip | 90201-1254
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Country | US
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Telephone | 323-773-4122
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Fax | 323-773-4773
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON CROWLEY
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Credential |
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Telephone | 323-773-4122
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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 | 50048
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License Number State | CA
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