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General NPI Number Information
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NPI Number | 1265040836
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Entity Type | Organization
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Legal Business Name | CMC ENTERPRISE, INC.
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 2426 W 8TH ST STE 112
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City | LOS ANGELES
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State | CA
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Zip | 90057-3840
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Country | US
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Telephone | 213-378-0122
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Fax | 213-378-0125
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Provider Business Mailing Address
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Address Line | 2426 W 8TH ST STE 112
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City | LOS ANGELES
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State | CA
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Zip | 90057-3840
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Country | US
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Telephone | 213-378-0122
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Fax | 213-378-0125
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Authorized Official
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Title or Position | PRESIDENT/CEO/PIC
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Name | DR. CRAIG K YOO
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Credential | PHARM.D.
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Telephone | 213-369-6940
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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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