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General NPI Number Information
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NPI Number | 1609302397
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Entity Type | Organization
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Legal Business Name | LUXOR PHARMACY CORP
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 10465 ARLINGTON AVE SUITE 300
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City | RIVERSIDE
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State | CA
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Zip | 92505-1103
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Country | US
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Telephone | 951-406-1521
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Fax | 951-406-1520
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Provider Business Mailing Address
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Address Line | 10465 ARLINGTON AVE SUITE 300
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City | RIVERSIDE
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State | CA
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Zip | 92505-1103
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Country | US
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Telephone | 951-406-1521
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Fax | 951-406-1520
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Authorized Official
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Title or Position | CEO
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Name | SAMER BESKHAYROUN
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Credential | RPH
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Telephone | 951-406-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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