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General NPI Number Information
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NPI Number | 1356569404
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Entity Type | Organization
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Legal Business Name | WOORI PHARMACY, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 266 S HARVARD BLVD STE 120
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City | LOS ANGELES
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State | CA
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Zip | 90004-4374
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Country | US
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Telephone | 213-384-6323
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Fax | 213-384-6340
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Provider Business Mailing Address
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Address Line | 266 S HARVARD BLVD STE 120
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City | LOS ANGELES
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State | CA
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Zip | 90004-4374
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Country | US
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Telephone | 213-384-6323
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Fax | 213-384-6340
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Authorized Official
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Title or Position | R.PH.
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Name | DR. SANG JUNG LEE
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Credential | PHARM.D.
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Telephone | 213-384-6323
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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 | PHY45130
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY45130
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY45130
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY45130
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License Number State | CA
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