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General NPI Number Information
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NPI Number | 1437292562
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Entity Type | Organization
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Legal Business Name | ARTESIA PHARMACY
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 2301 ARTESIA BLVD STE 11A
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City | REDONDO BEACH
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State | CA
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Zip | 90278-3100
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Country | US
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Telephone | 310-371-8866
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Fax | 310-371-5077
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Provider Business Mailing Address
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Address Line | 2301 ARTESIA BLVD STE 11A
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City | REDONDO BEACH
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State | CA
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Zip | 90278-3100
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Country | US
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Telephone | 310-371-8866
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Fax | 310-371-5077
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Authorized Official
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Title or Position | PHARMACIST & OWNER
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Name | CYRUS YAZDANY
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Credential |
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Telephone | 310-371-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY 35730
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License Number State | CA
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