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General NPI Number Information
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NPI Number | 1508697194
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Entity Type | Organization
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Legal Business Name | LIFEPOINT PHARMACY
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 39835 ALTA MURRIETA DR STE B19
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City | MURRIETA
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State | CA
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Zip | 92563-5439
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Country | US
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Telephone | 951-234-8282
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Fax | 951-234-8285
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Provider Business Mailing Address
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Address Line | 39835 ALTA MURRIETA DR STE B19
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City | MURRIETA
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State | CA
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Zip | 92563-5439
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Country | US
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Telephone | 951-234-8282
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Fax | 951-234-8285
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Authorized Official
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Title or Position | CFO
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Name | KIROLOS ANDRAWOS
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Credential | RPH
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Telephone | 626-383-5711
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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