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General NPI Number Information
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NPI Number | 1407187412
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Entity Type | Organization
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Legal Business Name | PHARMACY FOR LESS INC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 05/10/2020
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Provider Practice Location Address
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Address Line | 6345 BALBOA BLVD STE 140
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City | ENCINO
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State | CA
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Zip | 91316-1510
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Country | US
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Telephone | 818-343-5000
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Fax | 818-343-5060
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Provider Business Mailing Address
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Address Line | 6345 BALBOA BLVD STE 140
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City | ENCINO
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State | CA
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Zip | 91316-1510
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Country | US
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Telephone | 818-343-5000
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Fax | 818-343-5060
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Authorized Official
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Title or Position | PRESIDENT, CFO
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Name | DAVID BUSTAN
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Credential | BS
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Telephone | 818-343-5000
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY50022
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License Number State | CA
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