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General NPI Number Information
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NPI Number | 1467467076
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Entity Type | Organization
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Legal Business Name | UNITED PHARMACEUTICAL
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 10495 BOLSA AVE SUITE # 102
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City | WESTMINSTER
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State | CA
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Zip | 92683-6762
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Country | US
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Telephone | 714-531-2757
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Fax | 714-531-1390
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Provider Business Mailing Address
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Address Line | 10495 BOLSA AVE SUITE # 102
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City | WESTMINSTER
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State | CA
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Zip | 92683-6762
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Country | US
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Telephone | 714-531-2757
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Fax | 714-531-1390
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. K HOANG
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Credential | PHARM.D.
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Telephone | 714-531-2757
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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 | 48751
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License Number State | CA
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