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General NPI Number Information
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NPI Number | 1174996128
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Entity Type | Organization
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Legal Business Name | MET PHARMACY, INC
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 1344 E COLORADO ST SUITE A
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-839-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 1344 E COLORADO ST SUITE A
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City | GLENDALE
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State | CA
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Zip | 91205
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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 | PIC/ECO
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Name | MR. MARY ANNE KANDAHARIAN
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Credential | PHARMD
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Telephone | 818-839-7999
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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 |
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License Number State |
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