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General NPI Number Information
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NPI Number | 1255322400
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Entity Type | Organization
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Legal Business Name | VAN NUYS PHARMACY
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 7400 VAN NUYS BLVD SUITE 111
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City | VAN NUYS
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State | CA
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Zip | 91405-1972
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Country | US
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Telephone | 818-988-6191
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Fax | 818-988-4311
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Provider Business Mailing Address
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Address Line | 7400 VAN NUYS BLVD SUITE 111
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City | VAN NUYS
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State | CA
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Zip | 91405-1972
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Country | US
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Telephone | 818-988-6191
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Fax | 818-988-4311
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MRS. HANH T NGUYEN
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Credential | PHARMACIST
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Telephone | 818-988-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY46197
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License Number State | CA
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