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General NPI Number Information
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NPI Number | 1366677684
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Entity Type | Organization
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Legal Business Name | BTN PHARMACY INC
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Dates
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Enumeration Date | 05/17/2009
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 1433 N HOLLENBECK AVE STE 103
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City | COVINA
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State | CA
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Zip | 91722-1558
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Country | US
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Telephone | 626-214-2562
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Fax | 626-332-2566
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Provider Business Mailing Address
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Address Line | 280 S LEMON AVE # 1053
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City | WALNUT
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State | CA
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Zip | 91788-2685
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Country | US
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Telephone | 626-214-2562
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Fax | 626-332-2566
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Authorized Official
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Title or Position | CEO / PRESIDENT
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Name | BICH-HONG BUI-TRAN
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Credential |
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Telephone | 626-214-2562
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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 | 49838
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License Number State | CA
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