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General NPI Number Information
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NPI Number | 1386754596
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Entity Type | Organization
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Legal Business Name | WARNER PLAZA PHARMACY
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 10810 WARNER AVE SUITE #9
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3848
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Country | US
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Telephone | 714-965-1008
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Fax | 714-965-7530
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Provider Business Mailing Address
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Address Line | 10810 WARNER AVE SUITE #9
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3848
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Country | US
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Telephone | 714-965-1008
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Fax | 714-965-7530
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. HAN T NGUYEN
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Credential | RPH
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Telephone | 714-965-1008
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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 | PHY38162
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License Number State | CA
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