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General NPI Number Information
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NPI Number | 1477988608
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Entity Type | Organization
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Legal Business Name | PINNACLE PHARMACY INC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 1811 W GLENOAKS BLVD STE A
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City | GLENDALE
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State | CA
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Zip | 91201-4377
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Country | US
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Telephone | 818-484-5532
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Fax | 818-484-5533
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Provider Business Mailing Address
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Address Line | 1811 W GLENOAKS BLVD SUITE A
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City | GLENDALE
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State | CA
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Zip | 91201-4376
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Country | US
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Telephone | 818-484-5532
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Fax | 818-484-5533
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIRAN AMLIKYAN
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Credential |
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Telephone | 818-484-5532
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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 | 51464
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License Number State | CA
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