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General NPI Number Information
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NPI Number | 1366477655
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Entity Type | Organization
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Legal Business Name | WEST VAL PHARMACY INC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 5353 BALBOA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-2874
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Country | US
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Telephone | 818-788-2411
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Fax | 818-981-4947
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Provider Business Mailing Address
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Address Line | 5353 BALBOA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-2874
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Country | US
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Telephone | 818-788-2411
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Fax | 818-981-4947
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Authorized Official
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Title or Position | PHARMACIST OWENR
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Name | MR. STANLEY B GOLDENBERG
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Credential | BS PHARMACY & FASCP
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Telephone | 818-788-5810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY11433
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License Number State | CA
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