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General NPI Number Information
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NPI Number | 1376536672
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Entity Type | Organization
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Legal Business Name | HYE PHARMACY INC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 12509 VICTORY BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3135
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Country | US
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Telephone | 818-766-0100
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Fax | 818-766-2502
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Provider Business Mailing Address
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Address Line | 5236 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-1210
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Country | US
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Telephone | 323-661-7152
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Fax | 323-966-1726
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MR. PETROS TAGLYAN
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Credential | PHARMD
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Telephone | 323-661-7152
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY41567
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License Number State | CA
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