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General NPI Number Information
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NPI Number | 1366453854
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Entity Type | Organization
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Legal Business Name | OCEAN PARK APOTHECARY LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 2731 OCEAN PARK BOULEVARD
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City | SANTA MONICA
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State | CA
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Zip | 90405-5205
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Country | US
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Telephone | 310-452-5705
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Fax | 310-452-2508
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Provider Business Mailing Address
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Address Line | 2731 OCEAN PARK BOULEVARD
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City | SANTA MONICA
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State | CA
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Zip | 90405-5205
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Country | US
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Telephone | 310-452-5705
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Fax | 310-452-2508
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MONIKABEN AKSHAY BHAYANI
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Credential |
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Telephone | 310-452-5705
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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 | PHY30898
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License Number State | CA
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