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General NPI Number Information
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NPI Number | 1407065931
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Entity Type | Organization
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Legal Business Name | TELEHEALTH PHARMACY ,INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 17200 VENTURA BLVD 116
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City | ENCINO
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State | CA
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Zip | 91316-5029
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Country | US
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Telephone | 877-797-9793
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Fax | 818-904-1800
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Provider Business Mailing Address
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Address Line | 17200 VENTURA BLVD 116
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City | ENCINO
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State | CA
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Zip | 91316-4005
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Country | US
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Telephone | 877-797-9793
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Fax | 818-904-1800
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. JASIMINE H ESTES
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Credential | RPH
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Telephone | 818-968-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY 53340
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License Number State | CA
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