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General NPI Number Information
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NPI Number | 1508227620
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Entity Type | Organization
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Legal Business Name | OC PHARMACY SPECIALISTS LLC
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1823 N EUCLID ST
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City | FULLERTON
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State | CA
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Zip | 92835-3343
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Country | US
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Telephone | 714-441-1765
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Fax | 714-441-1766
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Provider Business Mailing Address
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Address Line | 1823 N EUCLID ST
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City | FULLERTON
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State | CA
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Zip | 92835-3343
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Country | US
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Telephone | 714-441-1765
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Fax | 714-441-1767
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | PHUONG LAM
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Credential |
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Telephone | 714-441-1765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55552
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License Number State | CA
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