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NPI 1235203753

NPI 1235203753 : G & H RAPHA INC : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1235203753
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    Entity Type          |    Organization 
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    Legal Business Name  |    G & H RAPHA INC 
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Dates
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    Enumeration Date     |    11/17/2006
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    5575 MISSION BLVD 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92509-4503
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    Country              |    US
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    Telephone            |    951-683-2172
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    Fax                  |    951-683-2183
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Provider Business Mailing Address
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    Address Line         |    5575 MISSION BLVD 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92509-4503
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    Country              |    US
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    Telephone            |    951-683-2172
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    Fax                  |    951-683-2183
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Authorized Official
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    Title or Position    |    PIC
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    Name                 |     DAVE KYU YOON CHO 
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    Credential           |    RPH
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    Telephone            |    951-683-2172
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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        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PHY45762
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    License Number State |    CA
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