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General NPI Number Information
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NPI Number | 1487653994
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Entity Type | Organization
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Legal Business Name | DISCOUNT PHARMACY & MEDICAL SUPPLY
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 703 N FULTON ST SUITE 201
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City | FRESNO
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State | CA
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Zip | 93728-3405
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Country | US
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Telephone | 559-268-0712
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Fax | 559-268-0722
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Provider Business Mailing Address
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Address Line | 703 N FULTON ST SUITE 201
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City | FRESNO
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State | CA
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Zip | 93728-3405
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Country | US
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Telephone | 559-268-0712
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Fax | 559-268-0722
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MRS. VAN T NGUYEN
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Credential | RPH.
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Telephone | 559-268-0712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY43116
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License Number State | CA
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