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General NPI Number Information
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NPI Number | 1457838831
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Entity Type | Organization
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Legal Business Name | ROXBURY PHARMACY, INC.
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 465 N ROXBURY DR # 103
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4206
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Country | US
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Telephone | 310-720-3969
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Fax |
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Provider Business Mailing Address
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Address Line | 465 N ROXBURY DR STE 103
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4271
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Country | US
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Telephone | 310-271-2600
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Fax | 310-271-2601
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE AND SECRETARY
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Name | MRS. SANAM KHALIFIAN
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Credential |
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Telephone | 310-271-2600
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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 | 56175
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License Number State | CA
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