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General NPI Number Information
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NPI Number | 1376660720
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Entity Type | Organization
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Legal Business Name | A.V PHARMACY
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 38750 TRADE CENTER DR SUITE G
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City | PALMDALE
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State | CA
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Zip | 93551-3787
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Country | US
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Telephone | 661-272-6970
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Fax |
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Provider Business Mailing Address
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Address Line | 38750 TRADE CENTER DR SUITE G
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City | PALMDALE
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State | CA
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Zip | 93551-3787
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Country | US
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Telephone | 661-272-6970
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Fax | 661-272-6966
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | LUCIE NGUYEN
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Credential |
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Telephone | 661-272-6970
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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 |
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License Number State |
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