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General NPI Number Information
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NPI Number | 1396128443
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Entity Type | Organization
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Legal Business Name | DSY PHARMACY INC
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 9171 WILSHIRE BLVD STE B
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5530
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Country | US
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Telephone | 310-385-9128
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Fax | 310-385-9129
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Provider Business Mailing Address
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Address Line | 9171 WILSHIRE BLVD STE B
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5530
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Country | US
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Telephone | 310-385-9128
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Fax | 310-385-9129
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Authorized Official
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Title or Position | SECRETARY/PHARMACIST IN CHARGE
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Name | DR. SAHAR SIMINO
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Credential | PHARM D
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Telephone | 310-385-9128
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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 | PHY 53429
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License Number State | CA
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