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General NPI Number Information
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NPI Number | 1255687489
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Entity Type | Organization
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Legal Business Name | RX ADVISORS INC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 2101 HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-6300
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Country | US
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Telephone | 559-298-0600
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Fax | 559-325-2226
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Provider Business Mailing Address
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Address Line | 2101 HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-6300
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Country | US
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Telephone | 559-298-0600
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Fax | 559-325-2226
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Authorized Official
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Title or Position | PIC
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Name | TONY MINH TA
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Credential | RPH
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Telephone | 559-298-0600
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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 | 50969
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License Number State | CA
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Taxonomy #2
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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 #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order 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 | PHY55976
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License Number State |
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