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General NPI Number Information
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NPI Number | 1285203406
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Entity Type | Organization
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Legal Business Name | PRORX, INC.
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 18399 COLIMA RD STE A
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2797
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Country | US
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Telephone | 626-581-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 18399 COLIMA RD STE A
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2797
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Country | US
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Telephone | 626-295-2515
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Fax | 626-295-2513
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Authorized Official
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Title or Position | OWNER
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Name | DONALD HAN
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Credential |
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Telephone | 626-295-2515
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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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