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General NPI Number Information
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NPI Number | 1427103878
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Entity Type | Organization
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Legal Business Name | CHEMIQUE PHARMACEUTICALS, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 176 UNIVERSITY PKWY
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City | POMONA
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State | CA
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Zip | 91768-4300
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Country | US
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Telephone | 909-598-1229
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Fax | 909-594-4205
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Provider Business Mailing Address
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Address Line | PO BOX 4369
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City | WHITTIER
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State | CA
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Zip | 90607-4369
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Country | US
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Telephone | 909-598-1010
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Fax | 909-594-4205
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHIL LOWELL MILLMAN
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Credential | PHARM.D.
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Telephone | 562-698-0921
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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 | PHY36675
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | LSC99028
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | LSC99028
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | LSC99028
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | LSC99028
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License Number State | CA
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