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General NPI Number Information
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NPI Number | 1346983434
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Entity Type | Organization
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Legal Business Name | LUNA PHARMACY INC.
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Dates
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Enumeration Date | 04/16/2022
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 2809 N GLENOAKS BLVD UNIT B
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City | BURBANK
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State | CA
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Zip | 91504-2604
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Country | US
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Telephone | 818-303-3038
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 N GLENOAKS BLVD UNIT B
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City | BURBANK
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State | CA
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Zip | 91504-2604
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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 | OWNER
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Name | SHUSHAN KHOROZYAN
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Credential |
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Telephone | 818-303-3038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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