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General NPI Number Information
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NPI Number | 1184619918
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Entity Type | Organization
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Legal Business Name | SURF MEDICAL PHARMACY
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3655 LOMITA BLVD #102
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City | TORRANCE
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State | CA
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Zip | 90505-3931
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Country | US
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Telephone | 310-378-1239
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Fax | 310-378-1230
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Provider Business Mailing Address
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Address Line | 3655 LOMITA BLVD #102
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City | TORRANCE
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State | CA
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Zip | 90505-3931
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Country | US
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Telephone | 310-378-1239
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Fax | 310-378-1230
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. YOONHEE YEE
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Credential | RPH
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Telephone | 310-378-1239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY416570
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License Number State | CA
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