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General NPI Number Information
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NPI Number | 1437959285
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Entity Type | Organization
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Legal Business Name | NAM PHUONG PHARMACY, INC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 10691 WESTMINSTER AVE STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4911
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Country | US
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Telephone | 714-530-1188
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Fax | 714-530-1199
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Provider Business Mailing Address
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Address Line | 10691 WESTMINSTER AVE STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4911
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Country | US
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Telephone | 714-530-1188
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Fax | 714-530-1199
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Authorized Official
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Title or Position | PIC
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Name | DAVID LE
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Credential | PHARMD
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Telephone | 714-902-4781
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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 |
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License Number State |
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