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General NPI Number Information
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NPI Number | 1306643457
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Entity Type | Organization
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Legal Business Name | PHARM SHOPPE INC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 18321 VENTURA BLVD STE 920
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City | TARZANA
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State | CA
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Zip | 91356-4255
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Country | US
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Telephone | 818-594-5470
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Fax | 747-777-5980
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Provider Business Mailing Address
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Address Line | 18321 VENTURA BLVD STE 920
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City | TARZANA
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State | CA
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Zip | 91356-4255
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DRO AMIRIAN
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Credential |
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Telephone | 818-594-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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