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General NPI Number Information
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NPI Number | 1376992875
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Entity Type | Organization
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Legal Business Name | CVS PHARMACY
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 222 N MARKET ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1217
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Country | US
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Telephone | 310-671-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 12415 RIVES AVE
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City | DOWNEY
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State | CA
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Zip | 90242-3454
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Country | US
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Telephone | 562-253-3905
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | DR. ARTIN DEMBEKJAN
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Credential | PHARM D
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Telephone | 401-216-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | RPH 47630
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License Number State | CA
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