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General NPI Number Information
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NPI Number | 1609692813
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Entity Type | Organization
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Legal Business Name | LION RX INC.
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2857 SENTER RD STE A
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City | SAN JOSE
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State | CA
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Zip | 95111-1100
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Country | US
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Telephone | 408-784-3921
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Fax |
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Provider Business Mailing Address
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Address Line | 2857 SENTER RD STE A
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City | SAN JOSE
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State | CA
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Zip | 95111-1100
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Country | US
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Telephone | 408-784-3921
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THANH H NGUYEN
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Credential |
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Telephone | 408-806-0647
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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 |
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License Number State |
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