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General NPI Number Information
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NPI Number | 1235927989
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Entity Type | Organization
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Legal Business Name | BROTHERHOOD PHARMACY INC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1040 S MOUNT VERNON AVE STE E
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City | COLTON
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State | CA
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Zip | 92324-4228
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Country | US
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Telephone | 909-222-4884
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Fax | 909-222-4921
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Provider Business Mailing Address
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Address Line | 1040 S MOUNT VERNON AVE STE E
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City | COLTON
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State | CA
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Zip | 92324-4228
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Country | US
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Telephone | 909-222-4884
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Fax | 909-222-4921
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Authorized Official
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Title or Position | CEO
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Name | MR. YONGMIN KIM
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Credential |
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Telephone | 909-222-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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