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General NPI Number Information
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NPI Number | 1295723823
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Entity Type | Organization
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Legal Business Name | KC PHARMACIES, INC.
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1540 E COLORADO ST
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City | GLENDALE
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State | CA
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Zip | 91205-1514
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Country | US
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Telephone | 818-550-0218
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Fax | 818-550-0211
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Provider Business Mailing Address
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Address Line | 1540 E COLORADO ST
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City | GLENDALE
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State | CA
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Zip | 91205-1514
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Country | US
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Telephone | 818-550-0218
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Fax | 818-550-0211
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | DR. KIRK TERUO HIURA
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Credential | PHARMD.
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Telephone | 818-550-0218
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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 | PHY43348
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License Number State | CA
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