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General NPI Number Information
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NPI Number | 1225101470
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Entity Type | Organization
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Legal Business Name | JOHNS SHOP-RITE PHARMACY INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 4333 SOUTH ST
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City | LAKEWOOD
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State | CA
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Zip | 90712-1148
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Country | US
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Telephone | 562-616-0056
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Fax | 562-220-1532
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Provider Business Mailing Address
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Address Line | 4333 SOUTH ST
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City | LAKEWOOD
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State | CA
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Zip | 90712-1148
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Country | US
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Telephone | 562-616-0056
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Fax | 562-220-1532
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Authorized Official
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Title or Position | PIC
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Name | RAMSEY HALIM
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Credential | RPH
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Telephone | 562-616-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY40005
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License Number State | CA
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