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General NPI Number Information
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NPI Number | 1336293752
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Entity Type | Organization
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Legal Business Name | TAN BINH PHARMACY, INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14541 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-5700
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Country | US
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Telephone | 714-531-8275
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Fax | 714-531-8276
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Provider Business Mailing Address
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Address Line | 15434 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-5700
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Country | US
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Telephone | 714-531-8275
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Fax | 714-531-8276
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | CAROLINE LE NGUYEN
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Credential | R.PH.
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Telephone | 714-531-8275
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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 | PHY 45764
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License Number State | CA
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