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General NPI Number Information
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NPI Number | 1184243602
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Entity Type | Organization
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Legal Business Name | DTLA RX PHARMACY APC
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 1120 S GRAND AVE STE 103
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City | LOS ANGELES
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State | CA
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Zip | 90015-4677
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Country | US
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Telephone | 213-745-5000
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Fax | 213-745-5000
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Provider Business Mailing Address
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Address Line | 1120 S GRAND AVE STE 103
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City | LOS ANGELES
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State | CA
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Zip | 90015-4677
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Country | US
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Telephone | 213-745-5000
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Fax | 213-745-5000
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Authorized Official
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Title or Position | CEO/SEC/CFO/PRESIDENT/DIR
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Name | RAHUL KUMAR
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Credential |
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Telephone | 213-745-5000
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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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