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General NPI Number Information
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NPI Number | 1457345407
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Entity Type | Organization
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Legal Business Name | THU INC
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 6590 STOCKTON BLVD # B
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City | SACRAMENTO
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State | CA
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Zip | 95823-1612
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Country | US
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Telephone | 916-395-0352
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Fax | 916-395-1878
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Provider Business Mailing Address
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Address Line | 6590 STOCKTON BLVD # B
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City | SACRAMENTO
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State | CA
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Zip | 95823-1612
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Country | US
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Telephone | 916-395-0352
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Fax | 916-395-1878
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Authorized Official
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Title or Position | PHARMACIST INCHARGE
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Name | DR. JENNIFER NGO
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Credential | PHARMD.
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Telephone | 916-395-0352
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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 | PHY40756
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License Number State | CA
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