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General NPI Number Information
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NPI Number | 1528142643
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Entity Type | Organization
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Legal Business Name | LA CRESCENTA PHARMACY INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2764 FOOTHILL BLVD
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3517
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Country | US
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Telephone | 818-248-5851
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Fax | 818-248-6292
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Provider Business Mailing Address
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Address Line | 2764 FOOTHILL BLVD
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3517
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Country | US
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Telephone | 818-248-5851
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Fax | 818-248-6292
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Authorized Official
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Title or Position | PRES
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Name | KAUSHIK PATEL
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Credential |
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Telephone | 818-248-5851
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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 | PHY44963
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License Number State | CA
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