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General NPI Number Information
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NPI Number | 1447576699
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Entity Type | Organization
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Legal Business Name | JP PHARMACY INC
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 9188 MIRA MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92126-4804
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Country | US
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Telephone | 858-382-7279
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Fax | 858-750-1233
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Provider Business Mailing Address
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Address Line | 9188 MIRA MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92126-4804
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Country | US
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Telephone | 858-271-0014
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Fax | 858-271-0042
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | TRANG ANGELA NGUYEN
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Credential | PHARMD
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Telephone | 858-271-0014
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 59247
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License Number State | CA
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