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General NPI Number Information
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NPI Number | 1235579376
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Entity Type | Organization
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Legal Business Name | RX MEDS PHARMACEUTICAL
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 1710 S MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92707
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Country | US
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Telephone | 714-953-7538
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Fax | 714-953-7549
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Provider Business Mailing Address
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Address Line | 1710 S MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92707
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Country | US
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Telephone | 714-953-7538
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Fax | 714-953-7549
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Authorized Official
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Title or Position | OWNER
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Name | DAVID M DONNER
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Credential |
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Telephone | 562-760-1969
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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 | PHY 51643
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License Number State | CA
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Taxonomy #2
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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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