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General NPI Number Information
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NPI Number | 1407369929
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Entity Type | Organization
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Legal Business Name | RX PHARMACEUTICAL, INC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 18840 VENTURA BLVD STE 120
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City | TARZANA
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State | CA
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Zip | 91356-3301
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Country | US
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Telephone | 818-600-8800
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Fax | 866-394-0444
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Provider Business Mailing Address
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Address Line | 18406 GRESHAM ST APT 103
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City | NORTHRIDGE
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State | CA
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Zip | 91325-3074
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Country | US
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Telephone | 818-256-7777
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | THAO PHUONG NGUYEN
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Credential | PHARM.D
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Telephone | 818-600-8800
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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 | 55793
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License Number State | CA
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