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General NPI Number Information
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NPI Number | 1447253448
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Entity Type | Organization
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Legal Business Name | WILSHIRE PHARMCARE, INC.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4420 E MIRALOMA AVE STE F
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City | ANAHEIM
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State | CA
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Zip | 92807-1838
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Country | US
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Telephone | 714-701-1192
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Fax | 714-701-1195
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Provider Business Mailing Address
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Address Line | 26611 CABOT RD. STE B
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-7018
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Country | US
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Telephone | 949-348-7900
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Fax | 714-701-1195
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SAMEL K LEE
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Credential | PHARMD
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Telephone | 949-348-7900
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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