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General NPI Number Information
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NPI Number | 1316012990
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Entity Type | Organization
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Legal Business Name | SYD'S PHARMACY INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 7111 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2538
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Country | US
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Telephone | 323-933-8571
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Fax | 323-933-7370
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Provider Business Mailing Address
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Address Line | 7111 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2538
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Country | US
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Telephone | 323-933-8571
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Fax | 323-933-7370
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Authorized Official
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Title or Position | MGR
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Name | BEN WEINER
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Credential |
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Telephone | 323-933-8571
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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 | 50698
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License Number State | CA
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