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General NPI Number Information
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NPI Number | 1336278381
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Entity Type | Organization
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Legal Business Name | JJ PHARMACY
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 9246 VALLEY BLVD STE B
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City | ROSEMEAD
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State | CA
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Zip | 91770-1922
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Country | US
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Telephone | 626-288-5318
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Fax | 626-288-5328
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Provider Business Mailing Address
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Address Line | 9246 VALLEY BLVD STE B
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City | ROSEMEAD
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State | CA
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Zip | 91770-1922
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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 | PRESIDENT
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Name | THOMAS WONG
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Credential |
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Telephone | 626-321-5911
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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 | PHY48428
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License Number State | CA
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