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General NPI Number Information
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NPI Number | 1528399938
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Entity Type | Organization
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Legal Business Name | AMERICAN INTEGRATIVE PHARMACY, LLC
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 1852 LOMITA BLVD
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City | LOMITA
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State | CA
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Zip | 90717-1968
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Country | US
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Telephone | 310-847-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 1852 LOMITA BLVD SUITE 204
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City | LOMITA
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State | CA
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Zip | 90717-1968
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Country | US
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Telephone | 310-847-9330
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. STEPHANIE CARTOZIAN
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Credential |
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Telephone | 310-847-9330
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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 | 50162
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License Number State | CA
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