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General NPI Number Information
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NPI Number | 1578931606
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Entity Type | Organization
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Legal Business Name | IPHARMACY INC
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Dates
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Enumeration Date | 09/06/2015
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 12916 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-4121
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Country | US
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Telephone | 909-342-9181
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Fax | 909-342-9172
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Provider Business Mailing Address
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Address Line | 12916 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-4121
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Country | US
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Telephone | 909-342-9181
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Fax | 909-342-9172
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Authorized Official
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Title or Position | CEO/PIC/AO
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Name | MARIAN MIKHAIL
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Credential | RPH
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Telephone | 909-342-9181
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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 | PHY53706
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License Number State | CA
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