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General NPI Number Information
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NPI Number | 1245784776
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Entity Type | Organization
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Legal Business Name | MEDSHOP PHARMACY, INC.
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Dates
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Enumeration Date | 08/13/2016
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 17100 NORWALK BLVD STE 108
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City | CERRITOS
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State | CA
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Zip | 90703-2750
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Country | US
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Telephone | 562-210-8215
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Fax | 562-210-8228
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Provider Business Mailing Address
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Address Line | 17100 NORWALK BLVD STE 108
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City | CERRITOS
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State | CA
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Zip | 90703-2750
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Country | US
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Telephone | 562-210-8215
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ANNA MARIE CO MONIS
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Credential | RPH
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Telephone | 562-210-8215
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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 |
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License Number State |
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