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General NPI Number Information
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NPI Number | 1609247469
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Entity Type | Organization
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Legal Business Name | AAA CARE RX INC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 6729 VARIEL AVE
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City | CANOGA PARK
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State | CA
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Zip | 91303-2811
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Country | US
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Telephone | 818-914-4194
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Fax | 818-914-4596
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Provider Business Mailing Address
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Address Line | 6729 VARIEL AVE
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City | CANOGA PARK
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State | CA
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Zip | 91303-2811
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Country | US
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Telephone | 818-914-4194
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Fax | 818-914-4596
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Authorized Official
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Title or Position | CEO/PIC
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Name | MR. GRANT AYVAZYAN
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Credential | PHARM D
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Telephone | 818-914-4194
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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